Student Union
Heart Disease Seen in Some Younger COVID-19 Patients
Health professionals continue to see heart disease in some young people who have had COVID-19, those who have been vaccinated against the virus, and among student athletes, in general.
Cardiomyopathy is an inflammation and weakening in the walls of the heart.
The Centers for Disease Control and Prevention (CDC) in Atlanta has reviewed vaccine safety data weekly since the start of the U.S. vaccination program and cautions that cases among those who have received the COVID-19 vaccine are “mild and few.” The agency says the condition appears in males more than females, more often following the second shot in a two-dose regimen, and usually around four days after the vaccination.
Coronavirus-related cardiomyopathy was first observed last year in younger people when college athletes resumed play as the pandemic spread in the United States. College sport events generate significant revenues for colleges and universities, and some big schools that draw thousands into stadiums returned players to campus with the hope of public events resuming sooner than later.
In a study of college athletes conducted since last September, a higher incidence of cardiomyopathy, also called myocarditis, has been seen in athletes who contracted the coronavirus, or SARS-CoV-2. Symptoms include shortness of breath, weakness, tiredness, dizziness and abnormal heart rhythm, according to the Mayo Clinic in Minnesota.
“Myocarditis is a leading cause of sudden death in competitive athletes,” researchers wrote in JAMA Cardiology in May, adding, “Myocardial inflammation is known to occur with SARS-CoV-2,” the medical name for the coronavirus.
Another study published in the Journal of the American College of Cardiology in March found that more than one in three “previously healthy college athletes recovering from COVID-19 infection showed … resolving pericardial inflammation.”
Resolving is the key word here: Researchers concluded that “no athlete showed ... features to suggest an ongoing myocarditis,” or inflammation of the heart walls. Knowing when athletes should play or rest is important, and research has not nailed down the long-term effects yet, the researchers said.
“Further studies are needed to understand the clinical implications and long-term evolution of these abnormalities in uncomplicated COVID-19,” they wrote.
Pediatric cardiologist Geoffrey Rosenthal has observed myocarditis in young people, specifically during the pandemic. He has been the team cardiologist for the University of Maryland, College Park since 2020.
“Myocarditis is one of the more common causes of sudden death in athletes,” said Rosenthal.
“If someone had myocarditis, it’s one of the standard recommendations that they not exercise strenuously for three to six months after their diagnosis to allow time for their heart to heal, and lessen their risk of a sudden event,” he said.
The residual health of athletes who have had COVID is being assessed to try to understand the risks.
Ohio State University (OSU) was one of the big universities that brought players back to campus amid the pandemic and detected heart changes in athletes who tested positive for the infection.
It has led the effort to monitor athletes by overseeing a registry of nearly 1,600 COVID-19 positive athletes in the Big Ten sports conference, or a division of 14 colleges and universities among other divisions nationally.
Looking at a smaller sample of 37 athletes diagnosed with myocarditis, 28 didn’t exhibit symptoms, reported OSU.
Rosenthal noted that research and cooperation among universities has advanced detection of myocarditis among young people and student athletes, who are largely asymptomatic, by using magnetic resonance imaging (MRI). The University of Maryland adopted cardiac MRI screening for athletes before almost all other universities in the country as the pandemic was starting, he said.
“The EKG is normal, and their blood tests are normal, and their echo [cardiogram] is OK,” Rosenthal explained. “And then we get the MRI and find out that there's an abnormality that we weren't expecting, and that we never would have found out about had we not done the MRI.
“There's still a lot of cardiac work that's going on in the younger student population,” Rosenthal said.
And this advancement in detection will help other athletes, younger and older.
“There's also hope that it will inform our understanding of COVID in older athletes, in older and non-elite athletes. … the weekend warriors,” he said.
But this research will also help non-athletes whose jobs demand physical labor.
“Other populations that these results might help inform is the military and other professions and occupations in which physical activity is part of what people are doing,” Rosenthal said. “First responders, firefighters, policemen, you know, other people whose jobs have physical demands. In addition to gaining insight into the health of our student athletes what other populations can we help through this work?”
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US campuses are battlegrounds in free speech debate
This week the University of Southern California canceled the graduation speech of its senior class valedictorian at a time when there is a growing debate over the limits of free speech on American college campuses.
USC’s Asna Tabassum, a Muslim biomedical engineer major, was selected from among 100 outstanding students to address the graduating class of 2024 this May. However, the school withdrew the invitation for her to speak at the graduation ceremony citing safety concerns.
Tabassum denounced the decision, which she attributed to her public support for Palestinian human rights. She said it is part of “a campaign of hate meant to silence my voice.”
The school maintains it is a safety issue, not about free speech. School officials say they received an alarming number of violent threats after selecting her as speaker.
USC is one of many American universities that have struggled with policies over free speech and campus protest since October’s Hamas terrorist attack on Israel and the continuing fighting in Gaza. After weeks or months of on-campus protests and rallies, schools have been taking more forceful action to punish protesters who administrators say have become disruptive.
On Thursday at Columbia University in New York, police arrested more than 100 students who had gathered on campus for pro-Palestinian protests. The school’s dean wrote that the protesters had been told several times that they were violating university policies and would be suspended. The students say they were exercising their free speech rights.
At Washington’s American University, protests in all campus buildings have been banned by the school’s president since January. Under the new policy, students may not hold rallies, engage in silent protests or place posters in any campus building.
Protests and safety
University students have a long history of engaging in political activism. From the Vietnam War to abortion rights, universities have played a key role in American political debates.
However, students now say that schools like AU with a long-standing protest culture are silencing protesters with new rules.
Arusa Islam, American University student body president-elect and current vice president, says the policies are preventing an open discussion about U.S. foreign policy.
“Indoor protesting was never a problem, it was never an issue before October 7th,” Islam said. “Students were allowed to put up posters in buildings and students were allowed to have a silent protest.”
“And now we don’t have that right anymore,” she added. “We have been silenced and it is affecting us greatly.”
American University’s president, Sylvia Burwell, says the school’s new policies are intended to ensure that protests do not disrupt university activity.
Burwell also referred to recent events on campus that “made Jewish students feel unsafe and unwelcome.” She added, antisemitism is abhorrent, wrong, and will not be tolerated at American University.
While administrators insist that they are making narrow restrictions in the interests of providing an education, critics say the policies have a far-reaching effect.
At Cornell University, where new rules took effect in January, Claire Ting, the executive vice president of the Cornell Student Assembly, said the policies have had an unsettling effect on campus.
“The campus climate at Cornell has been tense surrounding free speech in recent times,” Ting emailed VOA.
Ting said that both students and faculty feel the policy has had chilling effects on free expression.
“Students report facing arbitrary, escalating punishment for violating the policy, with the policy itself lacking clear outlines for the consequences of civil disobedience,” she added.
In its new policy Cornell warns students that disciplinary action may be taken if protests impede people or traffic, damage school property or interfere with the school’s operations in any way.
In its campus-wide notice explaining the new guidelines, the school wrote that the new policy would ensure that expressive activity is allowed but must remain nonviolent.
The Foundation for Individual Rights in Education, also known as FIRE, has tracked free speech issues on American campuses.
FIRE and College Pulse have produced an annual survey, since 2022, ranking colleges based on their policies and what students say about the free speech climate on campus.
This year the group reported that “alarming” numbers of students say they self-censor or “find their administrations unclear” on free speech issues.
“College campuses have always been places where students have been unafraid to express themselves and with the recent Gaza conflict after the 10/7 attacks, it’s been very heated on both sides of this issue,” said Zach Greenberg, the senior program officer of FIRE.
Harvard ranked last in this year’s survey. FIRE said the school punished some professors and researchers over what they had said or written, and students reported a poor climate for free speech on campus.
The controversy came to Congress late last year, when Harvard’s president testified over complaints of widespread antisemitism.
“I don’t think you’d find many students on campus right now that would say we are the model for flourishing free speech and ideas exchange in the country,” said J. Sellers Hill, president of Harvard’s school newspaper The Harvard Crimson.
“But I think you’ve really seen that be acknowledged by administrators and it seems to be something they are dedicated to taking on.”
As the head of The Harvard Crimson, Hill manages the paper’s 350 editors and 90 reporters, who’ve covered, in detail, the ongoing free speech/protests controversy and the resignation of former President Claudine Gay following her testimony to Congress.
“I think no one would dispute Harvard has work to do and progress to make,” Hill said. “I think it’s a tough sell, for me, that Harvard is uniquely in its own league in terms of intolerance of speech. That doesn’t square with what I have seen on our college campus or on other college campuses around the country. I think Harvard is held to a higher standard.”
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