Evidence map›Paper›PMID 36207245›Full record

ReviewArchives of cardiovascular diseases2022

Cardiac screening before returning to elite sport after SARS-CoV-2 infection.

Christophe Hédon, Frédéric Schnell, Philippe Sosner, Frédéric Chagué, Iris Schuster, Marc Julia, Alexandre Duparc, Jean-Michel Guy, Nicolas Molinari, Lionel Michaux and 2 more

Open access · greenAbstract readReview
In one paragraph

Review in Archives of cardiovascular diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
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 at 7 institutions in 1 country.

Christophe HédonPhyMedExp, University Montpellier, Inserm, CNRS; Cardiology and Physiology departments, University hospital Montpellier, Montpellier, France. Electronic address: c-hedon@chu-montpellier.fr.
Frédéric SchnellDepartment of Sport Medicine, University hospital Pontchaillou; University Rennes 1, Inserm, LTSI-UMR 1099, Rennes, France.
Philippe SosnerSport Medicine Center "Mon Stade", Paris, France; AP-HP Hôtel-Dieu University Hospital, Diagnosis and Therapeutic Center, Paris, France; INSEP, medical center, Paris, France; MOVE laboratory (UR 20296), Poitiers University of sciences and technology of physical activity and sports, Poitiers, France.
Frédéric ChaguéCardiology Department, University Hospital of Dijon, Physiopathology and brain cardiovascular epidemiology (PEC2), EA7460, University of Bourgogne Franche-Comté, Dijon, France.
Iris SchusterPhyMedExp, University Montpellier, Inserm, CNRS, University hospital Nîmes, Nîmes, France.
Marc JuliaDepartment of Sport medicine, Hospital of Perpignan, Perpignan, France.
Alexandre DuparcCardiology Department, Rangueil University Hospital, Toulouse, France.
Jean-Michel GuyCardio-respiratory rehabilitation center of Loire, St Priest en Jarez, France.
Nicolas MolinariIDESP, Inserm, University Montpellier, University hospital Montpellier, Montpellier, France.
Lionel MichauxCardiology practice, Montigny les Metz, France.
Frédéric CransacCardiology Department, Clinique du Millénaire, Montpellier, France.
Stéphane CadeCardiology Department, Clinique du Millénaire, Montpellier, France.
Centre National de la Recherche Scientifique · FRClinique du Millénaire · FRInserm · FRCentre Hospitalier de Perpignan · FRHôpital Rangueil · FRInstitute Cancer De La Loire Lucien Neuwirth · FRUniversité de Poitiers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSARS-CoV-2 infection can induce cardiac damage. Therefore, in the absence of clear data, a cardiac evaluation was recommended for athletes before returning to play after recent SARS-CoV-2 infection.

aimTo assess the proportion of anomalies detected by this cardiac screening.

methodsWe reviewed the medical files of elite athletes referred for cardiac evaluation before returning to play after a non-hospitalized SARS-CoV-2 infection (based on a positive polymerase chain reaction or antigen test) from March 2020 to July 2021 in 12 French centres.

resultsA total of 554 elite athletes (professional or national level) were included (median age 22 years, 72.0% male). An electrocardiogram (ECG), echocardiogram and exercise test were performed in 551 (99.5%), 497 (89.7%) and 293 (52.9%) athletes, respectively. We found anomalies with a potential link with SARS-CoV-2 infection in four ECGs (0.7%), three echocardiograms (0.6%) and three exercise tests (1.0%). Cardiac magnetic resonance imaging was performed in 34 athletes (6.1%), mostly due to abnormal first-line examinations, and was abnormal in one (2.9%). The rates of those abnormalities were not higher among athletes with cardiac symptoms or more severe forms of non-hospitalized SARS-CoV-2 infection. Only one athlete had a possible SARS-CoV-2 myocarditis and sport was temporally contraindicated. None had a major cardiac event declared during the follow-up.

conclusionThe proportion of cardiac involvement after non-hospitalized forms of SARS-CoV-2 infection in athletes are very low. Systematic cardiac screening before returning to play seems to be unnecessary.

Indexed as

COVID-19MyocarditisAdultAthletesFemaleHeartHumansMaleSARS-CoV-2Young AdultAthletesMyocarditisReturn-to-playSARS-CoV-2Screening

Identifiers

PMID36207245
PMCPMC9530801
OpenAlexW4298009174

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.