| Title: | Adverse cardiovascular magnetic resonance phenotypes are associated with greater likelihood of incident coronavirus disease 2019: findings from the UK Biobank |
| Journal: | Aging Clinical and Experimental Research |
| Published: | 8 Mar 2021 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/33683678/ |
| DOI: | https://doi.org/10.1007/s40520-021-01808-z |
| URL: | https://link.springer.com/content/pdf/10.1007/s40520-021-01808-z.pdf |
Publication 3996
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Abstract
BackgroundCoronavirus disease 2019 (COVID-19) disproportionately affects older people. Observational studies suggest indolent cardiovascular involvement after recovery from acute COVID-19. However, these findings may reflect pre-existing cardiac phenotypes.AimsWe tested the association of baseline cardiovascular magnetic resonance (CMR) phenotypes with incident COVID-19.MethodsWe studied UK Biobank participants with CMR imaging and COVID-19 testing. We considered left and right ventricular (LV, RV) volumes, ejection fractions, and stroke volumes, LV mass, LV strain, native T1, aortic distensibility, and arterial stiffness index. COVID-19 test results were obtained from Public Health England. Co-morbidities were ascertained from self-report and hospital episode statistics (HES). Critical care admission and death were from HES and death register records. We investigated the association of each cardiovascular measure with COVID-19 test result in multivariable logistic regression models adjusting for age, sex, ethnicity, deprivation, body mass index, smoking, diabetes, hypertension, high cholesterol, and prior myocardial infarction.ResultsWe studied 310 participants (n = 70 positive). Median age was 63.8 [57.5, 72.1] years; 51.0% (n = 158) were male. 78.7% (n = 244) were tested in hospital, 3.5% (n = 11) required critical care admission, and 6.1% (n = 19) died. In fully adjusted models, smaller LV/RV end-diastolic volumes, smaller LV stroke volume, and poorer global longitudinal strain were associated with significantly higher odds of COVID-19 positivity.DiscussionWe demonstrate association of pre-existing adverse CMR phenotypes with greater odds of COVID-19 positivity independent of classical cardiovascular risk factors.ConclusionsObservational reports of cardiovascular involvement after COVID-19 may, at least partly, reflect pre-existing cardiac status rather than COVID-19 induced alterations.</p>
14 Authors
- Zahra Raisi-Estabragh
- Celeste McCracken
- Jackie Cooper
- Kenneth Fung
- José M. Paiva
- Mohammed Y. Khanji
- Elisa Rauseo
- Luca Biasiolli
- Betty Raman
- Stefan K. Piechnik
- Stefan Neubauer
- Patricia B. Munroe
- Nicholas C. Harvey
- Steffen E. Petersen
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