Evidence map›Paper›PMID 34368419›Full record

ArticleInternational journal of cardiology. Heart & vasculature2021

Cardiac magnetic resonance in recovering COVID-19 patients. Feature tracking and mapping analysis to detect persistent myocardial involvement.

Javier Urmeneta Ulloa, Vicente Martínez de Vega, Oscar Salvador Montañés, Ana Álvarez Vázquez, Cristina Sánchez-Enrique, Sergio Hernández Jiménez, Francisco Daniel Sancho García, Luis López Ruiz, Manuel Recio Rodríguez, Gonzalo Pizarro and 2 more

Abstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Article
  5. Absence of cardiac impairment in patients after severe acute respiratory syndrome coronavirus type 2 infection: A long-term follow-up study.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2024
    Article
  6. Article
  7. Cardiovascular magnetic resonance for evaluation of cardiac involvement in COVID-19: recommendations by the Society for Cardiovascular Magnetic Resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Review
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Javier Urmeneta UlloaCardiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.
Vicente Martínez de VegaRadiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.
Oscar Salvador MontañésCardiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.
Ana Álvarez VázquezRadiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.
Cristina Sánchez-EnriqueCardiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.
Sergio Hernández JiménezCardiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.
Francisco Daniel Sancho GarcíaRadiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.
Luis López RuizRadiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.
Manuel Recio RodríguezRadiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.
Gonzalo PizarroCardiology Department, Ruber Juan Bravo Hospital Complex, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain.
Daniel Carnevali RuizInternal Medicine Department, Hospital Universitario Quirónsalud, Madrid, Spain.
José Ángel CabreraCardiology Department, Hospital Universitario Quirónsalud, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-COVID-19 patients may incur myocardial involvement secondary to systemic inflammation. Our aim was to detect possible oedema/diffuse fibrosis using cardiac magnetic resonance imaging (CMR) mapping and to study myocardial deformation of the left ventricle (LV) using feature tracking (FT).

methodsProspective analysis of consecutively recruited post-COVID-19 patients undergoing CMR. T1 and T2 mapping sequences were acquired and FT analysis was performed using 2D steady-state free precession cine sequences. Statistical significance was set to p < 0.05.

resultsIncluded were 57 post-COVID-19 patients and 20 healthy controls, mean age 59 ± 15 years, men 80.7%. The most frequent risk factors were hypertension (33.3%) and dyslipidaemia (36.8%). The contact-to-CMR interval was 81 ± 27 days. LV ejection fraction (LVEF) was 61 ± 10%. Late gadolinium enhancement (LGE) was evident in 26.3% of patients (19.3%, non-ischaemic). T2 mapping values (suggestive of oedema) were higher in the study patients than in the controls (50.9 ± 4.3 ms vs 48 ± 1.9 ms, p < 0.01). No between-group differences were observed for native T1 nor for circumferential strain (CS) or radial strain (RS) values (18.6 ± 3.3% vs 19.2 ± 2.1% (p = 0.52) and 32.3 ± 8.1% vs 33.6 ± 7.1% (p = 0.9), respectively). A sub-group analysis for the contact-to-CMR interval (<8 weeks vs ≥ 8 weeks) showed that FT-CS (15.6 ± 2.2% vs 18.9 ± 2.6%, p < 0.01) and FT-RS (24.9 ± 5.8 vs 33.5 ± 7.2%, p < 0.01) values were lower for the shorter interval.

conclusionsPost-COVID-19 patients compared to heathy controls had raised T2 values (related to oedema), but similar native T1, FT-CS and FT-RS values. FT-CS and FT-RS values were lower in post-COVID-19 patients undergoing CMR after < 8 weeks compared to ≥ 8 weeks.

Indexed as

Cardiac magnetic resonance imagingCMR, Cardiac-magnetic-resonance-imagingCOVID-19COVID-19, coronavirus disease-2019CRP, C-reactive-proteinCS, circumferential-strainECG, electrocardiogramECV, extracellular-volumeEGE, early-gadolinium-enhancementFeature trackingFT, feature-trackingICU, intensive-care-unitIQR, interquartile-rangeIR, inversion-recoveryLAX, long-axis-viewLGE, late-gadolinium-enhancementLS, longitudinal-strainLVEDV, LV end-diastolic-volumeLVEF, LV-Ejection-fractionLVESV, LV-end-systolic-volumeLV, left-ventricleMappingMERS-CoV, Middle-East-respiratory-syndrome-coronavirusPCR, polymerase-chain-reactionROI, region-of-interestRS, radial-strainRVEDV, end-diastolic-volumeRVEF, RV-ejection-fractionRVESV, RV-end-systolic-volumeRV, right-ventricleSARS-CoV-2, severe-acute-respiratory-syndrome-coronavirus-2SAX, short-axis-viewSCLS, systemic-capillary-leak-syndromeSD, standard-deviationSIRS, systemic-inflammatory-response-syndromeSSFP, steady-state-free-precessionSTIR, short-tau-inversion-recoveryTR, repetition-timeTTE, transthoracic-echocardiography

Identifiers

PMID34368419
PMCPMC8328575

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.