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Evaluation for myocarditis in competitive student athletes recovering from coronavirus disease 2019 with cardiac magnetic resonance imaging

JAMA Cardiology Aug 13, 2021

Starekova J, Bluemke DA, Bradham WS, et al. - Based on MRI findings, there was a low prevalence of myocarditis (1.4%) among student athletes recovering from coronavirus disease 2019 (COVID-19) with no or mild to moderate symptoms in this case series study. As a result, the value of cardiac MRI as a screening tool for myocarditis in this patient population is debatable.

  • In total, 145 competitive student athletes (108 male and 37 female individuals; mean age, 20 years; range, 17-23 years) recovering from COVID-19 were involved.

  • During the acute infection, the majority of patients had mild (71 [49.0%]) or moderate (40 [27.6%]) symptoms or were asymptomatic (24 [16.6%]).

  • In 10 patients (6.9%), symptoms were not identified or reported.

  • There were no patients who needed to be admitted to the hospital.

  • A median of 15 days after patients tested positive for COVID-19, cardiac MRIs were done.

  • Myocarditis was diagnosed in 2 patients based on MRI findings.

  • One patient had nonischemic late gadolinium enhancement and T2-weighted signal abnormalities over multiple segments, as well as an abnormal serum troponin-I level; the other had 1-cm nonischemic mild late gadolinium enhancement and mild T2-weighted signal abnormalities, as well as normal laboratory values.

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