Table 2.

Indications: Consider Addition of CMR to the Evaluation of Athletes Post–COVID-19

•Limiting symptoms (e.g., chest pain, dyspnea, exertional intolerance, syncopal event concerning for arrhythmia) without alternative explanation, even if normal TTE

•A sustained troponin elevation of 2 samples >99th percentile

•New or evolving ECG changes such as diffuse ST-segment elevations or new T-wave inversions

•ECG evidence of complex ectopic beats or ventricular arrhythmias

•Regional LV wall motion abnormality on echocardiography

•Global ventricular dysfunction (LVEF <50%) on echocardiography

•Segmental RV abnormalities, significant dilation, or dysfunction on echocardiography

•Diastolic dysfunction or abnormal strain, particularly if associated with other concerning features or new compared with prior recent imaging

•More than trivial pericardial effusion

CMR = cardiac magnetic resonance; ECG = electrocardiogram; TTE = transthoracic echocardiogram; other abbreviations as in Table 1.