Cardio-oncology & other

Long-term cardiac follow-up of athletes infected with SARS-CoV-2 after resumption of elite-level sports

HeartPublished Prospective controlled cohort study

Authors' conclusion

This prospective study demonstrates the safety of resuming elite-level sports after SARS-CoV-2 infection.

Study context

Population
Elite athletes (mean age 26±5 years; 40% women) from the ELITE cohort
Participants
259 athletes
Exposure
SARS-CoV-2-infected vs non-infected elite athletes
  • Infectedn = 123
  • Controlsn = 136reference
Outcome
Long-term detrimental cardiac effects: ventricular volumes and function, LGE and T1 on CMR; cardiac adverse events, ventricular arrhythmia burden, cessation of sports careers

Main finding

As reported in the abstract

GroupValueLate gadolinium enhancement (LGE)
Infected3%4 (3%), one reversible
Controls0 eventsnone

Value

Infected3%
Controls0 events

Late gadolinium enhancement (LGE)

Infected4 (3%), one reversible
Controlsnone

Observational data: associations, not effects.

Further findings

Follow-up of infected athletes · 26.7 (±5.8) months
96% · 118 of 123

Follow-up of infected athletes · 26.7 (±5.8) months

All 4 athletes with LGE resumed elite-level sports without increase in ventricular arrhythmias or adverse cardiac remodelling
No sports careers terminated due to SARS-CoV-2

Safety

New cardiac symptoms or events (infected athletes) · 26.7 (±5.8) months
0 · events
New cardiac symptoms or events (infected athletes) — None of the infected athletes reported new cardiac symptoms or events
0

Original publication

Long-term cardiac follow-up of athletes infected with SARS-CoV-2 after resumption of elite-level sports. Heart. Published 7 September 2023. doi:10.1136/heartjnl-2023-323058

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