Evidence map›Paper›PMID 36266740›Full record

ArticleEchocardiography (Mount Kisco, N.Y.)2022

Role of cardiovascular magnetic resonance imaging in COVID-19 recovered patients: A short-term follow-up study.

Shekhar Kunal, Prachi Bagarhatta, Girish M Palleda, Ankit Bansal, Vishal Batra, Mradul K Daga, Sanjay Tyagi, Ashok Sharma, Kalpana Bansal, Ritu Agarwal and 1 more

Open access · greenAbstract read
In one paragraph

Article in Echocardiography (Mount Kisco, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Shekhar KunalDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi, India.
Prachi BagarhattaDepartment of Medicine, Maulana Azad Medical College, Delhi, India.
Girish M PalledaDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi, India.
Ankit BansalDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi, India.
Vishal BatraDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi, India.
Mradul K DagaDepartment of Medicine, Maulana Azad Medical College, Delhi, India.
Sanjay TyagiDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi, India.
Ashok SharmaDepartment of Radiodiagnosis, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi, India.
Kalpana BansalDepartment of Radiodiagnosis, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi, India.
Ritu AgarwalDepartment of Radiodiagnosis, Eternal Heart Care Center (EHCC), Jaipur, Rajasthan, India.
Mohit D GuptaDepartment of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi, India.
Govind Ballabh Pant Hospital · INInstitute of Post Graduate Medical Education and Research · INMaulana Azad Medical College · INEternal Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCardiac involvement in recovered COVID-19 patients assessed by cardiac magnetic resonance imaging (MRI).

methodsSubjects recently recovered from COVID-19 and with an abnormal left ventricular global longitudinal strain were enrolled. Cardiac MRI in all the enrolled subjects was done at baseline (within 30-90 days following recovery from COVID-19) with a follow-up scan at 6 months in individuals with an abnormal baseline scan. Additionally, 20 age-and sex-matched individuals were enrolled as healthy controls (HCs).

resultsAll the 30 enrolled subjects were symptomatic during active COVID-19 disease and were categorized as mild: 11 (36.7%), moderate: 6 (20%), and severe: 13 (43.3%). Of the 30 patients, 16 (53.3%) had abnormal CMR findings. Myocardial edema was reported in 12 (40%) patients while 10 (33.3%) had late gadolinium enhancement (LGE). No difference was observed in terms of conventional left ventricular (LV) parameters; however, COVID-19-recovered patients had significantly lower right ventricular (RV) ejection fraction, RV stroke volume, and RV cardiac index compared to HCs. Follow-up scan was abnormal in 4/16 (25%) with LGE persisting in three patients (who had severe COVID-19 [3/4;75%]). Subjects with severe COVID-19 had a greater frequency of LGE (53.8%) and myocardial edema (61.5%) as compared to mild and moderate cases. Myocardial T1 (1284 ± 43.8 ms vs. 1147.6 ± 68.4 ms; p < .0001) and T2 values (50.8 ± 16.7 ms vs. 42.6 ± 3.6 ms; p = .04) were significantly higher in post COVID-19 subjects compared to HCs. Similarly, T1 and T2 values of severe COVID-19 patients were significantly higher compared to mild and moderate cases.

conclusionsAn abnormal CMR was seen in half of the recovered patients with persistent abnormality in one-fourth at 6 months. Our study suggests a need for closer follow-up among recovered subjects in order to evaluate for long-term cardiovascular sequelae. COVID-19 causes structural changes in the myocardium in a small segment of patients with partial spontaneous resolution.

Indexed as

COVID-19Magnetic Resonance Imaging, CineContrast MediaFollow-Up StudiesGadoliniumHumansMagnetic Resonance ImagingMyocardiumPredictive Value of TestsStroke VolumeVentricular Function, LeftContrast MediaGadoliniumcardiovascular magnetic resonance imagingCOVID-19myocarditisspeckle tracking echocardiography

Identifiers

PMID36266740
PMCPMC9874707
OpenAlexW4306938108

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.