Figure 2.

Symptomatic COVID-19 Athlete With Cardiac Involvement

(A) Steady-state free precession cardiac magnetic resonance cine still frame in the midventricular short-axis view showing an absence of fat tissue (arrowheads) along the pericardial lining (Video 1). (B) Cardiac magnetic resonance phase-segmented inversion recovery sequence in the midventricular short-axis view demonstrates pericardial enhancement in the inferolateral wall (arrowheads), as well as a pericardial effusion (10.3 mm), localized inferiorly (asterisk). (C and D) Steady-state free precession and phase-segmented inversion recovery sequence in 3-chamber view again confirmed the presence of pericardial enhancement (arrowheads in D) and the lack of fat signal (arrowheads in C) (Video 2). (E) A 2-dimensional echocardiogram in the parasternal short-axis view was concordant with a small pericardial effusion localized inferiorly (asterisk). (F) A significant reduction in global longitudinal strain (14.5%) was recorded. Native T₁ relaxation time of the myocardium was increased at 997 ms. ASR = anterior right superior; COVID-19 = coronavirus disease-2019; RI = right inferior.