Multimodality Imaging in Evaluation of Cardiovascular Complications in Patients With COVID-19: JACC Scientific Expert Panel

Expert Panel From the ACC Cardiovascular Imaging Leadership Council

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1345-1357
Number of pages13
JournalJournal of the American College of Cardiology
Volume76
Issue number11
DOIs
StatePublished - Sep 15 2020

Keywords

  • COVID-19
  • myocardial injury
  • myocarditis
  • stress cardiomyopathy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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