Partnering with Athletes to Assess Risk of COVID-Related Myocarditis

  1. Bradley Kay
  2. Attila Feher
  3. Samuel Reinhardt
  4. Jason Cuomo
  5. Stephanie Arlis-Mayor
  6. Matthew Lynch
  7. Kyle Johnson
  8. Phil Kemp
  9. Henry Wagner
  10. Tyler Welsh
  11. Jerome Lamy
  12. Dana Peters
  13. Hamid Mojibian
  14. Lawrence H. Young
  15. Rachel Lampert
  16. Robert McNamara
  17. Lauren A. Baldassarre
  18. Edward J. Miller
  19. Erica S. Spatz
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Abstract

Background

Myocarditis in athletes is a feared complication of SARS-CoV-2, yet guidelines for screening with cardiac magnetic resonance imaging are lacking. Further, stakeholder involvement in the research is rare.

Hypothesis

We sought to determine the rates of cardiac magnetic resonance imaging evidence of SARS-CoV-2 related myocarditis in student athletes. We hypothesized that rates of myocarditis were lower than initially reported and that including athletes on the research team would enhance participant satisfaction and scientific integrity.

Methods

Accordingly, when members of a hockey team were infected with SARS-CoV-2, we invited them and their team physicians to be part of the design of a study assessing the incidence of myocarditis. We performed cardiac magnetic resonance imaging on participating hockey players infected with SARS-CoV-2 and compared them to a healthy lacrosse cohort. Participants were given an optional survey to complete at the end of the study to assess their satisfaction with it.

Results

Four hockey players and two team physicians joined the study team; eight hockey players and four lacrosse players participated in the study. Zero athletes met imaging criteria for myocarditis; delayed enhancement was observed in seven cases and three controls. Athletes supported sharing the findings with the participants. No athletes reported feeling uncomfortable participating, knowing other athletes participated on the research team.

Conclusion

Rates of SARS-CoV-2 myocarditis in young athletes appears to be lower than initially reported. Partnered research is important, especially in populations with more to lose, such as collegiate athletes; future studies should include stakeholders in the study design and execution.

Key points

Cardiac MRI findings of myocarditis after COVID infection in young athletes is rare. Subjects of research studies appreciate involvement in the development of the study, and this also builds trust with the research team.

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