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. 2020 Oct 13;31(1):8–16. doi: 10.1016/j.tcm.2020.10.001

Table 3.

Role of imaging techniques in differential diagnosis of various cardiovascular complications in patients with COVID-19.

Clinical scenario Imaging modalities
TTE CT CMR ICA
Suspected ACS STE + - - ++
non-STE ++ ++*/⁎⁎ - +
Suspected myocarditis ++ +⁎⁎ ++ -
Suspected pericarditis ++ + + -
Suspected decompensated chronic heart failure ++ - - -
Suspected PE + ++⁎⁎⁎ - -
Suspected TTS ++ +* ++ +

ACS, acute coronary syndrome; CMR, cardiac magnetic resonance; CT, computed tomography; ICA, invasive coronary angiography; PE, pulmonary embolism; STE, ST-segment elevation; TTE, transthoracic echocardiography; TTS, takotsubo syndrome.

ACS, acute coronary syndrome; PE, pulmonary embolism; STE, ST-segment elevation; TTE, transthoracic echocardiography; TTS, takotsubo syndrome.

Modified from Cosyns B et al. Eur Heart J Cardiovasc Imaging 2020;21:709-714.

CCTA should be performed to rule in/out coronary artery disease and schedule subsequent invasive coronary angiography;

⁎⁎

CT with late iodine enhancement may be useful to detect areas of myocardial fibrosis;

⁎⁎⁎

CTPA is the gold standard for the assessment of pulmonary artery thrombi.