Transformative Effect of COVID-19 Pandemic on Magnetic Resonance Imaging Services in One Tertiary Cardiovascular Center
The aim of study was to investigate the transformative effect of the COVID-19 pandemic on magnetic resonance imaging (MRI) services in one tertiary cardiovascular center. The retrospective observational cohort study analyzed data of MRI studies (<i>n</i> = 8137) performed from 1 January...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Journal of Imaging |
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| Online Access: | https://www.mdpi.com/2313-433X/9/6/108 |
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| author | Tatiana A. Shelkovnikova Aleksandra S. Maksimova Nadezhda I. Ryumshina Olga V. Mochula Valery K. Vaizov Wladimir Y. Ussov Nina D. Anfinogenova |
| author_facet | Tatiana A. Shelkovnikova Aleksandra S. Maksimova Nadezhda I. Ryumshina Olga V. Mochula Valery K. Vaizov Wladimir Y. Ussov Nina D. Anfinogenova |
| author_sort | Tatiana A. Shelkovnikova |
| collection | DOAJ |
| description | The aim of study was to investigate the transformative effect of the COVID-19 pandemic on magnetic resonance imaging (MRI) services in one tertiary cardiovascular center. The retrospective observational cohort study analyzed data of MRI studies (<i>n</i> = 8137) performed from 1 January 2019 to 1 June 2022. A total of 987 patients underwent contrast-enhanced cardiac MRI (CE-CMR). Referrals, clinical characteristics, diagnosis, gender, age, past COVID-19, MRI study protocols, and MRI data were analyzed. The annual absolute numbers and rates of CE-CMR procedures in our center significantly increased from 2019 to 2022 (<i>p</i>-value < 0.05). The increasing temporal trends were observed in hypertrophic cardiomyopathy (HCMP) and myocardial fibrosis (<i>p</i>-value < 0.05). The CE-CMR findings of myocarditis, acute myocardial infarction, ischemic cardiomyopathy, HCMP, postinfarction cardiosclerosis, and focal myocardial fibrosis prevailed in men compared with the corresponding values in women during the pandemic (<i>p</i>-value < 0.05). The frequency of myocardial fibrosis occurrence increased from ~67% in 2019 to ~84% in 2022 (<i>p</i>-value < 0.05). The COVID-19 pandemic increased the need for MRI and CE-CMR. Patients with a history of COVID-19 had persistent and newly occurring symptoms of myocardial damage, suggesting chronic cardiac involvement consistent with long COVID-19 requiring continuous follow-up. |
| first_indexed | 2024-03-11T02:17:52Z |
| format | Article |
| id | doaj.art-eb60b088783e42419ae8b6b1a9cde3fe |
| institution | Directory Open Access Journal |
| issn | 2313-433X |
| language | English |
| last_indexed | 2024-03-11T02:17:52Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Imaging |
| spelling | doaj.art-eb60b088783e42419ae8b6b1a9cde3fe2023-11-18T11:04:19ZengMDPI AGJournal of Imaging2313-433X2023-05-019610810.3390/jimaging9060108Transformative Effect of COVID-19 Pandemic on Magnetic Resonance Imaging Services in One Tertiary Cardiovascular CenterTatiana A. Shelkovnikova0Aleksandra S. Maksimova1Nadezhda I. Ryumshina2Olga V. Mochula3Valery K. Vaizov4Wladimir Y. Ussov5Nina D. Anfinogenova6Cardiology Research Institute, Branch of the Federal State Budgetary Scientific Institution "Tomsk National Research Medical Center of the Russian Academy of Sciences", 634012 Tomsk, RussiaCardiology Research Institute, Branch of the Federal State Budgetary Scientific Institution "Tomsk National Research Medical Center of the Russian Academy of Sciences", 634012 Tomsk, RussiaCardiology Research Institute, Branch of the Federal State Budgetary Scientific Institution "Tomsk National Research Medical Center of the Russian Academy of Sciences", 634012 Tomsk, RussiaCardiology Research Institute, Branch of the Federal State Budgetary Scientific Institution "Tomsk National Research Medical Center of the Russian Academy of Sciences", 634012 Tomsk, RussiaCardiology Research Institute, Branch of the Federal State Budgetary Scientific Institution "Tomsk National Research Medical Center of the Russian Academy of Sciences", 634012 Tomsk, RussiaCardiology Research Institute, Branch of the Federal State Budgetary Scientific Institution "Tomsk National Research Medical Center of the Russian Academy of Sciences", 634012 Tomsk, RussiaCardiology Research Institute, Branch of the Federal State Budgetary Scientific Institution "Tomsk National Research Medical Center of the Russian Academy of Sciences", 634012 Tomsk, RussiaThe aim of study was to investigate the transformative effect of the COVID-19 pandemic on magnetic resonance imaging (MRI) services in one tertiary cardiovascular center. The retrospective observational cohort study analyzed data of MRI studies (<i>n</i> = 8137) performed from 1 January 2019 to 1 June 2022. A total of 987 patients underwent contrast-enhanced cardiac MRI (CE-CMR). Referrals, clinical characteristics, diagnosis, gender, age, past COVID-19, MRI study protocols, and MRI data were analyzed. The annual absolute numbers and rates of CE-CMR procedures in our center significantly increased from 2019 to 2022 (<i>p</i>-value < 0.05). The increasing temporal trends were observed in hypertrophic cardiomyopathy (HCMP) and myocardial fibrosis (<i>p</i>-value < 0.05). The CE-CMR findings of myocarditis, acute myocardial infarction, ischemic cardiomyopathy, HCMP, postinfarction cardiosclerosis, and focal myocardial fibrosis prevailed in men compared with the corresponding values in women during the pandemic (<i>p</i>-value < 0.05). The frequency of myocardial fibrosis occurrence increased from ~67% in 2019 to ~84% in 2022 (<i>p</i>-value < 0.05). The COVID-19 pandemic increased the need for MRI and CE-CMR. Patients with a history of COVID-19 had persistent and newly occurring symptoms of myocardial damage, suggesting chronic cardiac involvement consistent with long COVID-19 requiring continuous follow-up.https://www.mdpi.com/2313-433X/9/6/108COVID-19long COVID-19paramagnetic contrast-enhanced cardiac magnetic resonance imagingMRICMRhypertrophic cardiomyopathy |
| spellingShingle | Tatiana A. Shelkovnikova Aleksandra S. Maksimova Nadezhda I. Ryumshina Olga V. Mochula Valery K. Vaizov Wladimir Y. Ussov Nina D. Anfinogenova Transformative Effect of COVID-19 Pandemic on Magnetic Resonance Imaging Services in One Tertiary Cardiovascular Center Journal of Imaging COVID-19 long COVID-19 paramagnetic contrast-enhanced cardiac magnetic resonance imaging MRI CMR hypertrophic cardiomyopathy |
| title | Transformative Effect of COVID-19 Pandemic on Magnetic Resonance Imaging Services in One Tertiary Cardiovascular Center |
| title_full | Transformative Effect of COVID-19 Pandemic on Magnetic Resonance Imaging Services in One Tertiary Cardiovascular Center |
| title_fullStr | Transformative Effect of COVID-19 Pandemic on Magnetic Resonance Imaging Services in One Tertiary Cardiovascular Center |
| title_full_unstemmed | Transformative Effect of COVID-19 Pandemic on Magnetic Resonance Imaging Services in One Tertiary Cardiovascular Center |
| title_short | Transformative Effect of COVID-19 Pandemic on Magnetic Resonance Imaging Services in One Tertiary Cardiovascular Center |
| title_sort | transformative effect of covid 19 pandemic on magnetic resonance imaging services in one tertiary cardiovascular center |
| topic | COVID-19 long COVID-19 paramagnetic contrast-enhanced cardiac magnetic resonance imaging MRI CMR hypertrophic cardiomyopathy |
| url | https://www.mdpi.com/2313-433X/9/6/108 |
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