Magnetic resonance syndromes of myocardial damage in patients after new coronavirus infection (COVID-19) – two typical clinical cases
https://doi.org/10.29001/2073-8552-2022-37-1-135-141
Abstract
Clinical examples for variants of cardiovascular complications of a new coronavirus infection (COVID-19) are presented when they are visualized by means of magnetic resonance imaging (MRI) of the heart and chest organs with paramagnetic contrast enhancement and synchronization with ECG and respiration signal. The syndromes of post-COVID focal infarct injury and diffuse inflammatory lesion are identified. The picture of MRI visualization of coronary atherosclerotic plaque is presented. The results of quantitative processing of cardiac MRI in these two different syndromes of post-COVID cardiological complications are presented. The presented clinical examples indicate the need for cardiac MRI to monitor patients and assess the long-term cardiovascular effects of COVID-19.
About the Authors
T. A. Shelkovnikova
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Cand. Sci. (Med.), Senior Research Scientist, Department of Radiology and Tomography,
111a, Kievskaya str., Tomsk, 634012
E. Yu. Pushnikova
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Cand. Sci. (Med.), Cardiologist, Department of Myocardial Pathology,
111a, Kievskaya str., Tomsk, 634012
A. E. Baev
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Cand. Sci. (Med.), Head of the Department of Invasive Cardiology,
111a, Kievskaya str., Tomsk, 634012
V. V. Ryabov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Dr. Sci. (Med.), Associate Professor, Head of the Department of Emergency Cardiology,
111a, Kievskaya str., Tomsk, 634012
W. Yu. Ussov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Dr. Sci. (Med.), Professor, Leading Research Scientist, Department of Radiology and Tomography,
111a, Kievskaya str., Tomsk, 634012
References
1. Mareev V.Yu., Orlova Ya.A., Plisyk A.G., Pavlikova E.P., Akopyan Z.A., Matskeplishvili S.Т. et al. Proactive anti-inflammatory therapy with colchicine in the treatment of advanced stages of new coronavirus infection. The first results of the COLORIT study. Kardiologiia. 2021;61(2):15–27. (In Russ.). DOI: 10.18087/cardio.2021.2.n1560.
2. Ussov W.Yu., Ignatenko G.A., Nudnov N.V., Pervak M.B., Gulyaev V.M., Dubovaya A.V. et al. Possibilities of magnetic resonance tomography in primary and clarifying diagnosis of pneumonias at the time of COVID-19 epidemia. University Clinics. 2020;(I):545–546. (In Russ.).
3. Guzik T.J., Mohiddin S.A., Dimarco A., Patel V., Savvatis K., MarelliBerg F.M. et al. COVID-19 and the cardiovascular system: Implications for risk assessment, diagnosis, and treatment options. Cardiovasc. Res. 2020;116(10):1666–1687. DOI: 10.1093/cvr/cvaa106.
4. Puntmann V.O., Carerj M.L., Wieters I., Fahim M., Arendt C., Hoffmann J. et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from coronavirus disease 2019 (COVID-19). JAMA Cardiol. 2020;5(11):1265–1273. DOI: 10.1001/jamacardio.2020.3557.
5. Su Y.B., Kuo M.J., Lin T.Y., Chien C.S., Yang Y.P., Chou S.J. et al. Cardiovascular manifestation and treatment in COVID-19. J. Chin. Med. Assoc. 2020;83(8):704–709. DOI: 10.1097/JCMA.0000000000000352.
6. Ternovoi S K. Tomography of the heart. Moscow: GEOTAR-Media; 2018:296. (In Russ.).
7. Ussov W.Yu., Nudnov N.V., Ignatenko G.A., Gulyaev V.M., Pervak M.B., Shelkovnikova T.A. et al. Primary and prospective imaging of the chest using magnetic resonance imaging in patients with viral lung damage in COVID-19. Medical Visualization. 2020;24(4):11–26. (In Russ.). DOI: 10.24835/1607-0763-2020-4-11-26.
8. Ussov W. Yu., Arkhangelsky V.A., Fedorenko E.V. Detection of myocardial viability in ishaemic damage in cardiac surgery: Comparison of possibilities of magnetic resonance and emission tomography. Complex Problems of Cardiovascular Diseases. 2014;(3):124–133. (In Russ.).
9. Bobrikova E.E. Contrast paramagnetic enhancement of coronary atherosclerotic lesions as extension of MRI study of the heart. Medical Visualization. 2013;(3):21–27. (In Russ.).
10. Gomboeva S.B., Ryabov V.V., Shelkovnikova Т.А., Usov V.Yu., Markov V.A., Karpov R.S. Сase of pseudocoronary presentation of myocarditis with St segment elevation. Russian Journal of Cardiology. 2016;21(11):95–96. (In Russ.). DOI: 10.15829/1560-4071-2016-11-95-96.
Review
For citations:
Shelkovnikova T.A., Pushnikova E.Yu., Baev A.E., Ryabov V.V., Ussov W.Yu. Magnetic resonance syndromes of myocardial damage in patients after new coronavirus infection (COVID-19) – two typical clinical cases. Siberian Journal of Clinical and Experimental Medicine. 2022;37(1):135-141. (In Russ.) https://doi.org/10.29001/2073-8552-2022-37-1-135-141
Views:
10595
.png)
Email this article 