The Ohio State cardiologist says cardiac MRI can help doctors convince athletes to bring it back post-Kovid


Myocarditis.

It is a term (more specifically, a medical condition) that has become a major point of contention in recent weeks, especially in the college athletics community. The heart condition was undoubtedly one of the reasons the Big Ten was chosen to postpone the falling playing season and it will be a major thing on Sunday’s agenda as the Big Ten discusses a return to competition. No doctor wants to put an athlete in harm’s way after being recovered from coronavirus.

Good news seems to be emerging on that front.

According to a study published on Friday by JAMA Cardiology, “While large studies including long-term follow-up and control populations require understanding of cardiac magnetic resonance (CMR, or MRI’s) changes in competitive athletes, CMR may provide an excellent risk-stratification assessment for myocarditis in athletes. Recovered from COVID-19 to direct safe competitive sports participation. “

In other words, a team of doctors and researchers from the state of Ohio believe that conducting a cardiac MRI to detect heart inflammation can severely reduce an athlete’s ability, as they may have COVID -19 can reduce the likelihood of a heart attack on the field after returning to competition from diagnosis.

“Myocarditis is an important cause of sudden cardiac death in competitive athletes and can occur with normal ventricular function,” the study began. “Recent studies have raised concerns of myocardial inflammation after recovery from coronovirus disease 2019 (COVID-19), even in asymptomatic or mildly diseased patients. We aimed at cardiac magnetic in competitive athletes recovered from COVID. The use of resurfacing (CMR) imaging was to investigate. -19 to detect myocardial inflammation that would identify high-risk athletes for a return to competitive sports. “

“The focus of our study was to see if we could do a test that could allow those athletes to resume the sport, so that the doctors who were watching these athletes would send them back to competitive sports Feel safe about And if you control myocarditis by MRI, sports cardiologists will feel safe about sending these athletes back into action, ”said Ohio State Cardiologist Saurabh Rajpal, the lead author of the study.

The study included 26 college athletes who recovered from CoVID-19. Using the CMR test, four of the 26 had inflammation of the heart muscle (an important sign of myocarditis). Eight of the other athletes were found to increase gadolinium late. According to the National Institutes of Health, late gadolinium growth is an useful tool to detect scars, based on differences in the amount of distribution of gadolin, an additional colonial agent.

Rajpal said that it could be a sign of an earlier heart injury like the virus, but also an indication of the adaptation of the athlete’s heart depending on how hard they work.

Myocarditis is not a new phenomenon, but it is attracting much attention due to the epidemic.

“If someone has a heart swelling, and they stay at that high level of exercise, they are at risk of abnormal heart rhythms, and this can sometimes lead to death,” said Rajpal Eleven warriors. “These are rare examples, I point out, and myocarditis is very uncommon in itself. It is not a common disease. But because viral infections have affected so many people, we are talking more about it . “

“When we started studying, our goal was to find something that we could feel safe about sending these athletes back,” said Rajpal. “In addition to performing the normal test, in our opinion an MRI was to be done. So if you do an MRI, and the heart does not show myocarditis, at OSU we are letting athletes return to practice. We are letting them return to normal intensity of exercise if their MRI was negative. “

The next step for the study will be to conduct CMR on athletes who have not tested positive for COVID-19 and compare their results to those athletes who have the virus. Furthermore, the data in this study are statistically conclusive considering only 26 patients tested. But it is certainly a good start and the positive result may be enough to impress the Big Ten Presidents and Vice Chancellors that the condition should not be the sole reason for keeping football players off the field.

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