Adverse cardiovascular magnetic resonance phenotypes are associated with greater likelihood of incident coronavirus disease 2019: findings from the UK Biobank

Raisi-Estabragh, Z; McCracken, C; Cooper, J; Fung, K; Paiva, JM; Khanji, MY; Rauseo, E; Biasiolli, L; Raman, B; Piechnik, SK; Neubauer, S; Munroe, PB; Harvey, NC; Petersen, SE

COVID-19 Collection

Journal article

Adverse cardiovascular magnetic resonance phenotypes are associated with greater likelihood of incident coronavirus disease 2019: findings from the UK Biobank

Abstract:: BACKGROUND: Coronavirus disease 2019 (COVID-19) disproportionately affects older people. Observational studies suggest indolent cardiovascular involvement after recovery from acute COVID-19. However, these findings may reflect pre-existing cardiac phenotypes. AIMS: We tested the association of baseline cardiovascular magnetic resonance (CMR) phenotypes with incident COVID-19. METHODS: We studied UK Biobank participants with CMR imaging and COVID-19 testing. We considered left and right ventricular (LV, RV) volumes, ejection fractions, and stroke volumes, LV mass, LV strain, native T1, aortic distensibility, and arterial stiffness index. COVID-19 test results were obtained from Public Health England. Co-morbidities were ascertained from self-report and hospital episode statistics (HES). Critical care admission and death were from HES and death register records. We investigated the association of each cardiovascular measure with COVID-19 test result in multivariable logistic regression models adjusting for age, sex, ethnicity, deprivation, body mass index, smoking, diabetes, hypertension, high cholesterol, and prior myocardial infarction. RESULTS: We studied 310 participants (n = 70 positive). Median age was 63.8 [57.5, 72.1] years; 51.0% (n = 158) were male. 78.7% (n = 244) were tested in hospital, 3.5% (n = 11) required critical care admission, and 6.1% (n = 19) died. In fully adjusted models, smaller LV/RV end-diastolic volumes, smaller LV stroke volume, and poorer global longitudinal strain were associated with significantly higher odds of COVID-19 positivity. DISCUSSION: We demonstrate association of pre-existing adverse CMR phenotypes with greater odds of COVID-19 positivity independent of classical cardiovascular risk factors. CONCLUSIONS: Observational reports of cardiovascular involvement after COVID-19 may, at least partly, reflect pre-existing cardiac status rather than COVID-19 induced alterations

Publication status:: Published

Peer review status:: Peer reviewed

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APA Style

Raisi-Estabragh, Z., McCracken, C., Cooper, J., Fung, K., Paiva, J. M., Khanji, M. Y., Rauseo, E., Biasiolli, L., Raman, B., Piechnik, S. K., Neubauer, S., Munroe, P. B., Harvey, N. C., & Petersen, S. E. (2021). Adverse cardiovascular magnetic resonance phenotypes are associated with greater likelihood of incident coronavirus disease 2019: findings from the UK Biobank. Aging Clinical and Experimental Research, 33(4), 1133–1144.

MLA Style

Raisi-Estabragh, Z, et al. “Adverse Cardiovascular Magnetic Resonance Phenotypes Are Associated with Greater Likelihood of Incident Coronavirus Disease 2019: Findings from the UK Biobank.” Aging Clinical and Experimental Research, vol. 33, no. 4, 2021, pp. 1133–44.

Chicago Style

Raisi-Estabragh, Z, C McCracken, J Cooper, et al. 2021. “Adverse Cardiovascular Magnetic Resonance Phenotypes Are Associated with Greater Likelihood of Incident Coronavirus Disease 2019: Findings from the UK Biobank.” Aging Clinical and Experimental Research 33 (4): 1133–44.
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