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Quantifying and reporting cardiac findings in imaging of COVID-19 patients.
Monaldi Arch Chest Dis. 2020 Nov 09; 90(4)MA

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection continues to be a public health emergency and a pandemic of international concern. As of April 31st, the reported cases of COVID-19 are three million in 186 countries. Reported case fatality has crossed 200 thousand among which more than fifty thousand has been in the USA. Most patients present with symptoms of fever, cough, and shortness of breath following exposure to other COVID-19 patients. Respiratory manifestations predominate in patients with mild, moderate, severe illness. Imaging of patients with COVID-19 consistently reports various pulmonary parenchymal involvement. In this article we wanted to reinforce and review the various reported imaging patterns of cardiac and mediastinal involvement in COVID-19 patients. Among patients with COVID 19 who underwent various imaging of chest various cardiac findings including pericardial effusion, myocarditis, cardiomegaly has been reported. Most of these findings have been consistently reported in patients with significant acute myocardial injury, and fulminant myocarditis. Acute biventricular dysfunction has also been reported with subsequent improvement of the same following clinical improvement. Details of cardiac MRI is rather limited. In a patient with clinical presentation of acute myocarditis, biventricular myocardial interstitial edema, diffuse biventricular hypokinesia, increased ventricular wall thickness, and severe LV dysfunction has been reported. Among patients with significant clinical improvement in LV structure and function has also been documented. With increasing number of clinical cases, future imaging studies will be instrumental in identifying the various cardiac manifestations, and their relation to clinical outcome.

Authors+Show Affiliations

Department of Medicine, Saint Vincent Hospital, Worcester, MA. Ajay.Mishra@stvincenthospital.com.Department of Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN. Lal.Amos@mayo.edu.Department of Medicine, Saint Vincent Hospital, Worcester, MA. Kamalkant.Sahu@stvincenthospital.com.Department of Medicine, Division of Cardiovascular Medicine, Saint Vincent Hospital, Worcester, MA. Mark.Kranis@stvincenthospital.com.Department of Medicine, Saint Vincent Hospital, Worcester, MA. Jennifer.Sargent@stvincenthospital.com.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

33169595

Citation

Mishra, Ajay Kumar, et al. "Quantifying and Reporting Cardiac Findings in Imaging of COVID-19 Patients." Monaldi Archives for Chest Disease = Archivio Monaldi Per Le Malattie Del Torace, vol. 90, no. 4, 2020.
Mishra AK, Lal A, Sahu KK, et al. Quantifying and reporting cardiac findings in imaging of COVID-19 patients. Monaldi Arch Chest Dis. 2020;90(4).
Mishra, A. K., Lal, A., Sahu, K. K., Kranis, M., & Sargent, J. (2020). Quantifying and reporting cardiac findings in imaging of COVID-19 patients. Monaldi Archives for Chest Disease = Archivio Monaldi Per Le Malattie Del Torace, 90(4). https://doi.org/10.4081/monaldi.2020.1394
Mishra AK, et al. Quantifying and Reporting Cardiac Findings in Imaging of COVID-19 Patients. Monaldi Arch Chest Dis. 2020 Nov 9;90(4) PubMed PMID: 33169595.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quantifying and reporting cardiac findings in imaging of COVID-19 patients. AU - Mishra,Ajay Kumar, AU - Lal,Amos, AU - Sahu,Kamal Kant, AU - Kranis,Mark, AU - Sargent,Jennifer, Y1 - 2020/11/09/ PY - 2020/05/19/received PY - 2020/08/07/accepted PY - 2020/11/10/entrez PY - 2020/11/11/pubmed PY - 2020/11/20/medline JF - Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace JO - Monaldi Arch Chest Dis VL - 90 IS - 4 N2 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection continues to be a public health emergency and a pandemic of international concern. As of April 31st, the reported cases of COVID-19 are three million in 186 countries. Reported case fatality has crossed 200 thousand among which more than fifty thousand has been in the USA. Most patients present with symptoms of fever, cough, and shortness of breath following exposure to other COVID-19 patients. Respiratory manifestations predominate in patients with mild, moderate, severe illness. Imaging of patients with COVID-19 consistently reports various pulmonary parenchymal involvement. In this article we wanted to reinforce and review the various reported imaging patterns of cardiac and mediastinal involvement in COVID-19 patients. Among patients with COVID 19 who underwent various imaging of chest various cardiac findings including pericardial effusion, myocarditis, cardiomegaly has been reported. Most of these findings have been consistently reported in patients with significant acute myocardial injury, and fulminant myocarditis. Acute biventricular dysfunction has also been reported with subsequent improvement of the same following clinical improvement. Details of cardiac MRI is rather limited. In a patient with clinical presentation of acute myocarditis, biventricular myocardial interstitial edema, diffuse biventricular hypokinesia, increased ventricular wall thickness, and severe LV dysfunction has been reported. Among patients with significant clinical improvement in LV structure and function has also been documented. With increasing number of clinical cases, future imaging studies will be instrumental in identifying the various cardiac manifestations, and their relation to clinical outcome. SN - 1122-0643 UR - https://www.unboundmedicine.com/medline/citation/33169595/Quantifying_and_reporting_cardiac_findings_in_imaging_of_COVID_19_patients_ DB - PRIME DP - Unbound Medicine ER -