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Cardiovascular Risk Assessment after COVID-19 Infection before Resuming Sports Activities-Practical Flowchart and Meta-Analysis

2022-01Artigo científico Acesso aberto
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dc.contributor.authorPuga, Luís
dc.contributor.authorDinis, Paulo
dc.contributor.authorTeixeira, Rogério
dc.contributor.authorRibeiro, Joana Maria
dc.contributor.authorDores, Hélder
dc.contributor.authorDores, Helder
dc.contributor.authorGonçalves, Lino
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblSociedade Brasileira de Cardiologia
dc.date.accessioned2022-03-14T23:23:07Z
dc.date.available2022-03-14T23:23:07Z
dc.date.issued2022-01
dc.descriptionPublisher Copyright: © 2022, Arquivos Brasileiros de Cardiologia. All rights reserved.
dc.description.abstractBackground: The risk of sports-related sudden cardiac arrest after COVID-19 infection can be a serious problem. There is an urgent need for evidence-based criteria to ensure patient safety before resuming exercise. Objective: To estimate the pooled prevalence of acute myocardial injury caused by COVID-19 and to provide an easy-to-use cardiovascular risk assessment toolkit prior to resuming sports activities after COVID-19 infection. Methods: We searched the Medline and Cochrane databases for articles on the prevalence of acute myocardial injury associated with COVID-19 infection. The pooled prevalence of acute myocardial injury was calculated for hospitalized patients treated in different settings (non-intensive care unit [ICU], ICU, overall hospitalization, and non-survivors). Statistical significance was accepted for p values <0.05. We propose a practical flowchart to assess the cardiovascular risk of individuals who recovered from COVID-19 before resuming sports activities. Results: A total of 20 studies (6,573 patients) were included. The overall pooled prevalence of acute myocardial injury in hospitalized patients was 21.7% (95% CI 17.3-26.5%). The non-ICU setting had the lowest prevalence (9.5%, 95% CI 1.5-23.4%), followed by the ICU setting (44.9%, 95% CI 27.7-62.8%), and the cohort of non-survivors (57.7% with 95% CI 38.5-75.7%). We provide an approach to assess cardiovascular risk based on the prevalence of acute myocardial injury in each setting. Conclusions: Acute myocardial injury is frequent and associated with more severe disease and hospital admissions. Cardiac involvement could be a potential trigger for exercise-induced clinical complications after COVID-19 infection. We created a toolkit to assist with clinical decision-making prior to resuming sports activities after COVID-19 infection.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent11
dc.format.extent2140568
dc.identifier.doi10.36660/ijcs.20200288
dc.identifier.issn2359-4802
dc.identifier.otherPURE: 42052511
dc.identifier.otherPURE UUID: a5aeaa0c-d45a-4af4-8fa2-f9d8f0c608b1
dc.identifier.otherScopus: 85124751221
dc.identifier.urihttp://hdl.handle.net/10362/134491
dc.identifier.urlhttps://www.scopus.com/pages/publications/85124751221
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBetacoronavirus
dc.subjectCOVID-19
dc.subjectInflammation
dc.subjectMyocarditis
dc.subjectRisk Factors
dc.subjectSports
dc.subjectSports Medicine
dc.subjectSudden Cardiac Death
dc.subjectCardiology and Cardiovascular Medicine
dc.titleCardiovascular Risk Assessment after COVID-19 Infection before Resuming Sports Activities-Practical Flowchart and Meta-Analysisen
dc.typejournal article
degois.publication.firstPage14
degois.publication.issue1
degois.publication.lastPage24
degois.publication.titleInternational Journal of Cardiovascular Sciences
degois.publication.volume35
dspace.entity.typePublication
person.familyNameDores
person.givenNameHelder
person.identifier.ciencia-id0317-133B-8C14
person.identifier.orcid0000-0002-4736-5221
rcaap.rightsopenAccess
relation.isAuthorOfPublication20b0e882-d27f-4be5-8151-ec0d0a9b7185
relation.isAuthorOfPublication.latestForDiscovery20b0e882-d27f-4be5-8151-ec0d0a9b7185

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