The role of cardiovascular imaging for myocardial injury in hospitalized COVID-19 patients

Bernard Cosyns, Stijn Lochy, Maria Luiza Luchian, Alessia Gimelli, Gianluca Pontone, Sabine D. Allard, Johan De Mey, Peter Rosseel, Marc Dweck, Steffen E. Petersen, Thor Edvardsen

Research output: Contribution to journalReview articlepeer-review

Abstract

Recent EACVI recommendations described the importance of limiting cardiovascular imaging during the COVID-19 pandemic in order to reduce virus transmission, protect healthcare professionals from contamination, and reduce consumption of personal protective equipment. However, an elevated troponin remains a frequent request for cardiac imaging in COVID-19 patients, partly because it signifies cardiac injury due to a variety of causes and partly because it is known to convey a worse prognosis. The present paper aims to provide guidance to clinicians regarding the appropriateness of cardiac imaging in the context of troponin elevation and myocardial injury, how best to decipher the mechanism of myocardial injury, and how to guide patient management.

Original languageEnglish
Pages (from-to)709-714
Number of pages6
JournalEuropean Heart Journal Cardiovascular Imaging
Volume21
Issue number7
DOIs
Publication statusPublished - Jul 1 2020

Keywords

  • Cardiac magnetic resonance
  • Computed tomography
  • COVID-19
  • Echocardiography
  • Lung ultrasound
  • Myocardial injury
  • Troponin

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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