Advanced Cardiac Imaging in the Spectrum of COVID-19 Related Cardiovascular Involvement

Overview

Journal Clin Imaging

Publisher Elsevier

Specialty Radiology

Date 2022 Aug 5

PMID 35930942

Authors

Anna Palmisano

Michele Gambardella

Tommaso DAngelo

Davide Vignale

Raffaele Ascione

Marco Gatti

Giovanni Peretto

Francesco Federico

Amar Shah

Antonio Esposito

Affiliations

Soon will be listed here.

Abstract

Cardiovascular involvement is a common complication of COVID-19 infection and is associated to increased risk of unfavorable outcome. Advanced imaging modalities (coronary CT angiography and Cardiac Magnetic Resonance) play a crucial role in the diagnosis, follow-up and risk stratification of patients affected by COVID-19 pneumonia with suspected cardiovascular involvement. In the present manuscript we firstly review current knowledge on the mechanisms by which SARS-CoV-2 can trigger endothelial and myocardial damage. Secondly, the implications of the cardiovascular damage on patient's prognosis are presented. Finally, we provide an overview of the main findings at advanced cardiac imaging characterizing COVID-19 in the acute setting, in the post-acute syndrome, and after vaccination, emphasizing the potentiality of CT and CMR, the indication and their clinical implications.

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