Cardio-oncology & other

Longitudinal cardiac imaging for assessment of myocardial injury in non-hospitalised community-dwelling individuals after COVID-19 infection: the Rotterdam Study

HeartPublished Prospective cohort study

Authors' conclusion

Almost all recovered non-hospitalised COVID-19 participants had normal CMR-derived ventricular volumes and function, without relevant myocardial injury.

Study context

Population
Non-hospitalised community-dwelling adults who recovered from COVID-19 at home within 2 years prior to inclusion, Rotterdam Study
Participants
92 adults
Exposure
Persistent post-COVID-19 cardiac symptoms vs no persistent symptoms; pre- vs post-COVID-19 echocardiography
Outcome
Myocardial injury and myocardial function on CMR and echocardiography after COVID-19 infection
Methodological detailspopulation-based
  • Population-based

Main finding

As reported in the abstract

Normal post-COVID-19 CMR findings
Normal cardiovascular magnetic resonance (CMR)-derived left ventricular (LV) function
92%
Normal CMR-derived RV EF
98%
Normal native T1 relaxation times
100%
Normal extracellular volume
98%
Normal T2 relaxation times
98%

Observational data: associations, not effects.

Further findings

OutcomeAdjusted mean change (%) (95% CI)
Pre- vs post-COVID-19 echocardiographyPost-COVID-19vs Pre-COVID-19LVEF; age- and sex-adjusted−1.37 (−2.57% to −0.17%)
Pre- vs post-COVID-19 echocardiographyPost-COVID-19vs Pre-COVID-19Global longitudinal strain; age- and sex-adjusted1.32 (0.50%–2.15%)

CMR-derived ventricular volumes, LV function, myocardial injury by persistent symptoms

No significant differences between participants with and without persistent symptoms

Original publication

Longitudinal cardiac imaging for assessment of myocardial injury in non-hospitalised community-dwelling individuals after COVID-19 infection: the Rotterdam Study. Heart. Published 16 January 2025. doi:10.1136/heartjnl-2024-324316

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