Utility of exercise testing to assess athletes for post COVID-19 myocarditis

Mitrani, Raul D.; Alfadhli, Jarrah; Lowery, Maureen H.; Best, Thomas M.; Hare, Joshua M.; Fishman, Joel E.; Dong, C.; Siegel, Yoel; Scavo, Vincent A.; Basham, G.J.; Myerburg, Robert J.; Goldberger, Jeffrey J.

doi:10.1016/j.ahjo.2022.100125

Cited by 8 publications

(10 citation statements)

References 35 publications

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“…The GLS value showed a significant reduction from pre-test (T1) to post-test (T2) in both groups (Table 2 ). However, there were no differences between the two groups in the post-test comparison—results that confirm the latest state of knowledge [ 5 , 8 , 12 , 13 , 31 ].…”

Section: Discussionsupporting

confidence: 75%

“…Mitrani et al [ 12 ] demonstrated in competitive athletes that in some cases, proven myocardial involvement can increase the respiratory efficiency parameter (V E /VCO 2 ). The present data show no differences between groups with respect to V E /VCO 2 kinetics at rest and during exercise.…”

Section: Discussionmentioning

confidence: 99%

“…A recent review of a SARS-CoV-2 infection’s effects reported the likelihood of cardiovascular deconditioning with the consequences of subnormal cardiac performance in the form of reduced stroke volume and lower VO 2 peak values [ 9 ]. …(this segment we have moved to the discussion)… Other authors have reported contradictory findings such as a substantially lower prevalence of diagnosed cardiac events in competitive athletes after an asymptomatic or mild infection course [ 3 , 10 – 12 ]. The latest evidence thus indicates predominantly less frequent cardiac pathologies in athletes with a mainly mild course, but also reveals abnormal cardiac findings independent of symptoms [ 5 , 8 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…Otherwise, although elite athletes showed no GLS impairments, they did demonstrate a decrease in oxygen uptake (V̇O 2 ), pulse rate and respiratory minute volume on an ergometer test after SARS-CoV-2 infection [ 13 ]. Mitrani et al [ 12 ] showed that athletes with proven heart abnormalities had ventricular extra beats and/or reduced ventilatory efficiency (VE/VCO 2 ) without GLS or V̇O 2 differences compared with their group with no myocardial abnormalities.…”

Section: Introductionmentioning

confidence: 99%

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Repeated cardiopulmonary performance measurements in young competitive handball players with and without SARS-CoV-2 infection

Lässing

Kwast

Bischoff

et al. 2022

BMC Sports Sci Med Rehabil

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Background The SARS-CoV-2 virus and its long-term consequences in adolescents have a global impact on upcoming medical issues. The aim of this study was to investigate the effects of a SARS-CoV-2 infection on cardiorespiratory parameters in young athletes. Methods In a cohort study involving repeated measurements during a six-month period, cardiorespiratory parameters were assessed in infected (SCoV) and non-infected (noSCoV) athletes. We evaluated handball players (17.2 ± 1.0 years) via performance diagnostics and a specific examination after a SARS-CoV-2 infection or without. Results We observed no significant differences between the two groups at the first visit. But between the first and second visit, the SCoV group’s maximum power output was significantly lower than the noSCoV group’s (− 48.3 ± 12.5; p ≤ 0.01 vs. − 15.0 ± 26.0 W; p = 0.09). At the second visit, lung diffusion capacity (DLCO/VA, %predicted) did not differ between groups (111.6 ± 11.5 vs. 116.1 ± 11.8%; p = 0.45). HR during comparative stress showed no group differences. The SCoV group’s mean oxygen uptake during incremental exercise was lower (Two-way-ANOVA: 1912 vs. 2106 ml; p ≤ 0.01; mean difference: − 194 ml; 95% CI − 317 to − 71); we also noted a significantly lower stroke volume course during exercise (Two-way-ANAOVA: 147.5 vs. 169.5 ml; mean difference: − 22 ml; p ≤ 0.01; 95% CI − 34.2 to − 9.9). The probability of premature ventricular complexes after a SARS-CoV-2 infection yielded an odds ratio of 1.6 (95% CI 0.24–10.81). Conclusions The physical performance of young athletes infected with SARS-CoV-2 was impaired. This decreased performance is probably due to cardiac and/or peripheral deconditioning. Studies with larger cohorts are needed to make more profound conclusions.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Repeated cardiopulmonary performance measurements in young competitive handball players with and without SARS-CoV-2 infection

Lässing

Kwast

Bischoff

et al. 2022

BMC Sports Sci Med Rehabil

View full text Add to dashboard Cite

show abstract

“…We developed the MIAMI (Multidisciplinary Inquiry of Athletes in Miami In COVID-19 recovery) [37] protocol to include biomarkers and functional testing with exercise echocardiographic stress testing performed at least 14 days post COVID-19 diagnosis. CMR was performed only for those with abnormalities on initial testing.…”

Section: Cardiac Manifestations Of Covid-19 During the Early Convales...mentioning

confidence: 99%