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This review provides detailed guidance and recommendations to aid in decisions regarding diagnostic approaches and the use of advanced imaging techniques in patients with COVID-19 and suspected or known cardiovascular complications.
This abstract is available on the publisher's site.
Standard evaluation and management of the patient with suspected or proven cardiovascular complications of coronavirus disease-2019 (COVID-19), the disease caused by severe acute respiratory syndrome related-coronavirus-2 (SARS-CoV-2), is challenging. Routine history, physical examination, laboratory testing, electrocardiography, and plain x-ray imaging may often suffice for such patients, but given overlap between COVID-19 and typical cardiovascular diagnoses such as heart failure and acute myocardial infarction, need frequently arises for advanced imaging techniques to assist in differential diagnosis and management. This document provides guidance in several common scenarios among patients with confirmed or suspected COVID-19 infection and possible cardiovascular involvement, including chest discomfort with electrocardiographic changes, acute hemodynamic instability, newly recognized left ventricular dysfunction, as well as imaging during the subacute/chronic phase of COVID-19. For each, the authors consider the role of biomarker testing to guide imaging decision-making, provide differential diagnostic considerations, and offer general suggestions regarding application of various advanced imaging techniques.
JACC: Journal of the American College of Cardiology
Multimodality Imaging in Evaluation of Cardiovascular Complications in Patients With COVID-19: JACC Scientific Expert Panel
J Am Coll Cardiol 2020 Sep 15;76(11)1345-1357, L Rudski, JL Januzzi, VH Rigolin, EA Bohula, R Blankstein, AR Patel, C Bucciarelli-Ducci, E Vorovich, M Mukherjee, SV Rao, R Beanlands, TC Villines, MF Di Carli