Please use this identifier to cite or link to this item:
https://hdl.handle.net/10316/103297
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Puga, Luís | - |
dc.contributor.author | Dinis, Paulo | - |
dc.contributor.author | Teixeira, Rogério | - |
dc.contributor.author | Ribeiro, Joana Maria | - |
dc.contributor.author | Dores, Hélder | - |
dc.contributor.author | Gonçalves, Lino | - |
dc.date.accessioned | 2022-11-03T09:03:42Z | - |
dc.date.available | 2022-11-03T09:03:42Z | - |
dc.date.issued | 2021 | - |
dc.identifier.issn | 2359-4802 | pt |
dc.identifier.issn | 2359-5647 | pt |
dc.identifier.uri | https://hdl.handle.net/10316/103297 | - |
dc.description.abstract | Background: 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. | pt |
dc.language.iso | eng | pt |
dc.rights | openAccess | pt |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt |
dc.subject | Risk Factors | pt |
dc.subject | COVID-19 | pt |
dc.subject | Betacoronavirus | pt |
dc.subject | Myocarditis | pt |
dc.subject | Inflammation | pt |
dc.subject | Sudden Cardiac Death | pt |
dc.subject | Sports Medicine | pt |
dc.subject | Sports | pt |
dc.title | Cardiovascular Risk Assessment after COVID-19 Infection before Resuming Sports Activities - Practical Flowchart and Meta-Analysis | pt |
dc.type | article | - |
degois.publication.firstPage | 14 | pt |
degois.publication.lastPage | 24 | pt |
degois.publication.issue | 1 | pt |
degois.publication.title | International Journal of Cardiovascular Sciences | pt |
dc.peerreviewed | yes | pt |
dc.identifier.doi | 10.36660/ijcs.20200288 | pt |
degois.publication.volume | 35 | pt |
dc.date.embargo | 2021-01-01 | * |
uc.date.periodoEmbargo | 0 | pt |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.fulltext | Com Texto completo | - |
item.grantfulltext | open | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.openairetype | article | - |
crisitem.author.researchunit | CNC - Center for Neuroscience and Cell Biology | - |
crisitem.author.orcid | 0000-0001-9255-3064 | - |
Appears in Collections: | FMUC Medicina - Artigos em Revistas Internacionais |
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This item is licensed under a Creative Commons License