Society for Cardiovascular Magnetic Resonance (SCMR) guidance for the practice of cardiovascular magnetic resonance during the COVID-19 pandemic

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Abstract

The aim of this document is to provide general guidance and specific recommendations on the practice of cardiovascular magnetic resonance (CMR) in the era of the COVID-19 pandemic. There are two major considerations. First, continued urgent and semi-urgent care for the patients who have no known active COVID-19 should be provided in a safe manner for both patients and staff. Second, when necessary, CMR on patients with confirmed or suspected active COVID-19 should focus on the specific clinical question with an emphasis on myocardial function and tissue characterization while optimizing patient and staff safety.

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Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study

Fei Zhou, Ting Yu, Ronghui Du … (2020)

Summary Background Since December, 2019, Wuhan, China, has experienced an outbreak of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Epidemiological and clinical characteristics of patients with COVID-19 have been reported but risk factors for mortality and a detailed clinical course of illness, including viral shedding, have not been well described. Methods In this retrospective, multicentre cohort study, we included all adult inpatients (≥18 years old) with laboratory-confirmed COVID-19 from Jinyintan Hospital and Wuhan Pulmonary Hospital (Wuhan, China) who had been discharged or had died by Jan 31, 2020. Demographic, clinical, treatment, and laboratory data, including serial samples for viral RNA detection, were extracted from electronic medical records and compared between survivors and non-survivors. We used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death. Findings 191 patients (135 from Jinyintan Hospital and 56 from Wuhan Pulmonary Hospital) were included in this study, of whom 137 were discharged and 54 died in hospital. 91 (48%) patients had a comorbidity, with hypertension being the most common (58 [30%] patients), followed by diabetes (36 [19%] patients) and coronary heart disease (15 [8%] patients). Multivariable regression showed increasing odds of in-hospital death associated with older age (odds ratio 1·10, 95% CI 1·03–1·17, per year increase; p=0·0043), higher Sequential Organ Failure Assessment (SOFA) score (5·65, 2·61–12·23; p<0·0001), and d-dimer greater than 1 μg/mL (18·42, 2·64–128·55; p=0·0033) on admission. Median duration of viral shedding was 20·0 days (IQR 17·0–24·0) in survivors, but SARS-CoV-2 was detectable until death in non-survivors. The longest observed duration of viral shedding in survivors was 37 days. Interpretation The potential risk factors of older age, high SOFA score, and d-dimer greater than 1 μg/mL could help clinicians to identify patients with poor prognosis at an early stage. Prolonged viral shedding provides the rationale for a strategy of isolation of infected patients and optimal antiviral interventions in the future. Funding Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences; National Science Grant for Distinguished Young Scholars; National Key Research and Development Program of China; The Beijing Science and Technology Project; and Major Projects of National Science and Technology on New Drug Creation and Development.

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Standardized cardiovascular magnetic resonance imaging (CMR) protocols: 2020 update

Christopher Kramer, Jörg Barkhausen, Chiara Bucciarelli-Ducci … (2020)

This document is an update to the 2013 publication of the Society for Cardiovascular Magnetic Resonance (SCMR) Board of Trustees Task Force on Standardized Protocols. Concurrent with this publication, 3 additional task forces will publish documents that should be referred to in conjunction with the present document. The first is a document on the Clinical Indications for CMR, an update of the 2004 document. The second task force will be updating the document on Reporting published by that SCMR Task Force in 2010. The 3rd task force will be updating the 2013 document on Post-Processing. All protocols relative to congenital heart disease are covered in a separate document. The section on general principles and techniques has been expanded as more of the techniques common to CMR have been standardized. A section on imaging in patients with devices has been added as this is increasingly seen in day-to-day clinical practice. The authors hope that this document continues to standardize and simplify the patient-based approach to clinical CMR. It will be updated at regular intervals as the field of CMR advances.

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ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

John U Doherty, Smadar Kort, Roxana Mehran … (2019)

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Author and article information

Contributors

Yuchi Han:

ORCID: http://orcid.org/0000-0001-7582-1848

yuchi.han@pennmedicine.upenn.edu

Tiffany Chen: tiffany.chen2@pennmedicine.upenn.edu

Jennifer Bryant: jenbryant210@gmail.com

Chiara Bucciarelli-Ducci: c.bucciarelli-ducci@bristol.ac.uk

Christopher Dyke: dykec@njhealth.org

Michael D. Elliott: mde.elliott@gmail.com

Victor A. Ferrari: ferrariv@pennmedicine.upenn.edu

Matthias G. Friedrich: matthias.friedrich@mcgill.ca

Chris Lawton: chris.lawton@uhbristol.nhs.uk

Warren J. Manning: wmanning@bidmc.harvard.edu

Karen Ordovas: karen.ordovas@ucsf.edu

Sven Plein: s.plein@leeds.ac.uk

Andrew J. Powell: andrew.powell@cardio.chboston.org

Subha V. Raman: suraman@iu.edu

James Carr: jcarr@northwestern.edu

Journal

Journal ID (nlm-ta): J Cardiovasc Magn Reson

Journal ID (iso-abbrev): J Cardiovasc Magn Reson

Title: Journal of Cardiovascular Magnetic Resonance

Publisher: BioMed Central (London )

ISSN (Print): 1097-6647

ISSN (Electronic): 1532-429X

Publication date (Electronic): 27 April 2020

Publication date PMC-release: 27 April 2020

Publication date Collection: 2020

Volume: 22

Electronic Location Identifier: 26

Affiliations

[1 ]GRID grid.25879.31, ISNI 0000 0004 1936 8972, Departments of Medicine (Cardiovascular Division) and Radiology, Perelman School of Medicine, , University of Pennsylvania, ; Philadelphia, PA USA

[2 ]GRID grid.25879.31, ISNI 0000 0004 1936 8972, Cardiovascular Division, Perelman School of Medicine, , University of Pennsylvania, ; Philadelphia, PA USA

[3 ]National Heart Research Institute Singaore, National Heart Center Singapore, 5 Hospital Drive, Singapore, Singapore

[4 ]GRID grid.410421.2, ISNI 0000 0004 0380 7336, Bristol Heart Institute, Bristol NIHR Biomedical Research Centre, , University Hospitals Bristol and University of Bristol, ; Bristol, UK

[5 ]GRID grid.240341.0, ISNI 0000 0004 0396 0728, Division of Cardiology, National Jewish Health, ; Denver, CO USA

[6 ]GRID grid.239494.1, ISNI 0000 0000 9553 6721, Carolinas Medical Center, ; Charlotte, NC USA

[7 ]GRID grid.14709.3b, ISNI 0000 0004 1936 8649, Departments of Medicine and Diagnostic Radiology, , McGill University, ; Montreal, Canada

[8 ]Departments of Medicine (Cardiovascular Division) and Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA USA

[9 ]GRID grid.266102.1, ISNI 0000 0001 2297 6811, Departments of Radiology and Medicine, , University of California, ; San Francisco, San Francisco, CA USA

[10 ]GRID grid.9909.9, ISNI 0000 0004 1936 8403, Leeds Institute for Genetics Health and Therapeutics & Leeds Multidisciplinary Cardiovascular Research Centre, , University of Leeds, ; Leeds, UK

[11 ]Department of Cardiology, Boston Children’s Hospital, and the Department of Pediatrics, Harvard Medical School, Boston, MA USA

[12 ]GRID grid.257413.6, ISNI 0000 0001 2287 3919, Department of Medicine, , Indiana University School of Medicine, ; Indianapolis, IN USA

[13 ]GRID grid.16753.36, ISNI 0000 0001 2299 3507, Department of Radiology, Feinberg School of Medicine, , Northwestern University, ; Chicago, IL USA

Author information

Yuchi Han http://orcid.org/0000-0001-7582-1848

Article

Publisher ID: 628

DOI: 10.1186/s12968-020-00628-w

PMC ID: 7184243

PubMed ID: 32340614

SO-VID: 0cd4ab1f-575a-4429-9ab2-ee4fe4716008

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 8 April 2020

Date accepted : 17 April 2020

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ScienceOpen disciplines: Cardiovascular Medicine

Keywords: guidance,recommendations,cmr,covid-19,safety

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ScienceOpen disciplines: Cardiovascular Medicine

Keywords: guidance, recommendations, cmr, covid-19, safety

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Society for Cardiovascular Magnetic Resonance (SCMR) guidance for the practice of cardiovascular magnetic resonance during the COVID-19 pandemic

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Most cited references 3

Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study

Standardized cardiovascular magnetic resonance imaging (CMR) protocols: 2020 update

ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

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