2021
DOI: 10.3389/fcvm.2021.756790
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Normalized Cardiac Structure and Function in COVID-19 Survivors Late After Recovery

Abstract: Background: Coronavirus disease 2019 can result in myocardial injury in the acute phase. However, information on the late cardiac consequences of coronavirus disease 2019 (COVID-19) is limited.Methods: We conducted a prospective observational cohort study to investigate the late cardiac consequences of COVID-19. Standard echocardiography and myocardial strain assessment were performed, and cardiac blood biomarkers were tested in 86 COVID-19 survivors 327 days (IQR 318–337 days) after recovery. Comparisons were… Show more

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Cited by 8 publications
(25 citation statements)
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References 33 publications
(65 reference statements)
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“…We and others have found a normal LV function in the first few months after hospitalization 15–17,28 . Gao et al found no structural or functional cardiac pathology 12 months after COVID‐19 compared to matched controls 29 . In the current study, we found no significant changes in any of the echocardiographic parameters from 3 to 12 months, and the proportion of patients with LV and RV dysfunction was similar at both visits.…”
Section: Discussionsupporting
confidence: 47%
See 1 more Smart Citation
“…We and others have found a normal LV function in the first few months after hospitalization 15–17,28 . Gao et al found no structural or functional cardiac pathology 12 months after COVID‐19 compared to matched controls 29 . In the current study, we found no significant changes in any of the echocardiographic parameters from 3 to 12 months, and the proportion of patients with LV and RV dysfunction was similar at both visits.…”
Section: Discussionsupporting
confidence: 47%
“…[15][16][17]28 Gao et al found no structural or functional cardiac pathology 12 months after COVID-19 compared to matched controls. 29 In the current study, we found no significant changes in any of the echocardiographic parameters from 3 to 12 months, and the proportion of patients with LV and RV dysfunction was similar at both visits. Although we did not have pre-COVID echocardiographic data on the participants, these findings suggest that there is limited long-term cardiac remodeling and progressive dysfunction after hospitalization for COVID-19, and that cardiac recovery from the acute disease predominantly occurs within the first 3 months.…”
Section: Discussionmentioning
confidence: 90%
“…Besides, we included risk factor-matched controls to minimize the influence of cardiovascular risk factors on CMR characteristics, considering that some patients with COVID-19 had hypertension, diabetes, or hyperlipidemia. Age, sex, and cardiovascular risk factors (hypertension, diabetes, and hyperlipidemia) were matched between risk factor-matched controls and patients with COVID-19 as described in previous studies by Puntmann et al ( 17 ) and Gao et al ( 18 ). Comparisons were made with cardiovascular risk factor-matched patients (risk factor-matched controls; n = 21), who were examined in our institution before 2020.…”
Section: Methodsmentioning
confidence: 99%
“…The lack of multicentre cross‐sectional data comprising detailed clinical evaluation, haemodynamic monitorization, and standardized imaging protocols lead to diverse classifications of the disease's severity. Furthermore, the poor correlation between MRI findings and clinical severity, as well as the transient nature of the myocardial involvement in COVID infection, make difficult to link HF functional severity to cardiac structural damage 40–42 …”
Section: Introductionmentioning
confidence: 99%