Myocardial Injury and Outcomes Following COVID-19 Vaccination (MYOVAX Study)
Overview
- Phase
- Not Applicable
- Intervention
- Cardiac PET/MRI
- Conditions
- Myocardial Injury
- Sponsor
- University Health Network, Toronto
- Enrollment
- 57
- Locations
- 2
- Primary Endpoint
- Prevalence of myocardial inflammation on PET/MRI
- Status
- Active, not recruiting
- Last Updated
- 8 days ago
Overview
Brief Summary
The study will focus on cardiac blood and imaging biomarkers to facilitate early recognition of patients at risk for myocardial injury after COVID-19 vaccination. Ultimately, the intention is to identify patients at risk, reduce adverse events, and determine the need for longer-term follow-up in patients with myocardial injury after vaccination.
Detailed Description
Coronavirus disease 2019 (COVID-19) vaccination frequently leads to minor side effects that may be more intense after the second dose, including fatigue and pain. However, there are emerging reports of more serious side effects in a minority of patients including myocarditis. Given the recent introduction of COVID-19 vaccination, there is limited understanding of: (i) prevalence and pattern of myocardial injury post vaccination, (ii) the risk factors for myocardial injury and adverse cardiac events post vaccination, and (iii) imaging and blood biomarkers for early recognition of patients at risk of adverse outcomes. This study will address the above-mentioned knowledge gaps by focusing on patients who have received at least one dose of a COVID-19 vaccine. The study will focus on cardiac blood and imaging biomarkers to facilitate early recognition of patients at risk for myocardial injury after COVID-19 vaccination. Ultimately, the intention is to identify patients at risk, reduce adverse events, and determine the need for longer-term follow-up in patients with myocardial injury after vaccination.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 17 years (both Cohort A and B)
- •Received at least one dose of a COVID-19 vaccine in the past 6 months (both Cohort A and B)
- •Developed new clinical signs or symptoms suggestive of myocarditis/myocardial injury within one month of COVID vaccine administration without other known cause (Cohort A, only)
Exclusion Criteria
- •Contraindications to cardiac PET/MRI
- •Current history of COVID-19
Arms & Interventions
Cohort A - Symptomatic
Those with clinical findings suggestive of myocarditis/myocardial injury after COVID-19 vaccination
Intervention: Cardiac PET/MRI
Cohort A - Symptomatic
Those with clinical findings suggestive of myocarditis/myocardial injury after COVID-19 vaccination
Intervention: Blood Biomarkers
Cohort B - Asymptomatic
Those without signs or symptoms suggestive of myocarditis after COVID-19 vaccination
Intervention: Cardiac PET/MRI
Cohort B - Asymptomatic
Those without signs or symptoms suggestive of myocarditis after COVID-19 vaccination
Intervention: Blood Biomarkers
Outcomes
Primary Outcomes
Prevalence of myocardial inflammation on PET/MRI
Time Frame: 6months and 12months
The prevalence of myocardial inflammation on PET/MRI will be compared between symptomatic and asymptomatic patients
Secondary Outcomes
- Myocardial edema(6months and 12months)
- Major adverse cardiac events (MACE)(6months and 12months)
- Left ventricular dysfunction(6months and 12months)