Serial Left and Right Ventricular Strain Analysis in Patients Recovered from COVID-19

Young, Kathleen A.; Krishna, Hema; Jain, Vaibhav; Hamza, Izhan; Scott, Christopher G.; Pellikka, Patricia A.; Villarraga, Hector R.

doi:10.1016/j.echo.2022.06.007

Cited by 9 publications

(11 citation statements)

References 31 publications

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“…In contrast to the present study regarding age and gender distribution, Young et al [9] in their study conducted on total of 259 individuals had both a baseline echocardiogram prior to their COVID-19 diagnosis and an outpatient echocardiogram completed after recovery from COVID-19 infection. The average age of patients included was 60 years (SD 16), 47% were female, 53% were males.…”

Section: Discussioncontrasting

confidence: 64%

Left Atrial Strain evaluation in Post Covid 19 Recovered Patients

Sherif¹,

Kandil²,

Altabeeb³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background:The COVID-19 pandemic has affected more than 170 million people around the world, and previous studies of complications and long-term effects of SARS-CoV-2 infection have found that patients who are hospitalized with COVID-19 have more than double the rate of arrhythmias, including atrial fibrillation and atrial flutter, a similar rapid rhythm that can lead to heart failure and stroke. Objective: The aim of the study was to evaluate the left atrial structural remodeling in patients with persistent dyspnea and exertional dyspnea post covid 19 infections. Patients and methods: This case-control study included a total of 60 patients in sinus rhythm, aged > 18 years, attending at Department of Cardiology, Zagazig University Hospitals. They were divided into two groups :(A) included 30 symptomatic subjects recovered from covid 19 who developed exertional dyspnea, compared to group B (30) volunteers without any symptoms. All participants were in sinus rhythm. Results: Left Atrial (LA) reservoir Strain is decreased in post covid in cases with exertional dyspnea & associated with this dyspnea at odds ratio (OR) of 3.28 (95% CI 1.4 to 7.6), ALSO, LA diameter at OR of 2.7 CI (1.22-6.77) & p wave dispersion at OR 126 CI (20-813). Conclusion: It could be concluded that LAS parameters have a high feasibility to predict symptomatic subjects who developed exertional dyspnea, and fatigue after recovery from covid-19 infection.

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Section: Discussioncontrasting

confidence: 64%

Left Atrial Strain evaluation in Post Covid 19 Recovered Patients

Sherif¹,

Kandil²,

Altabeeb³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…Available studies have included mainly mild COVID-19 cases and do not always exclude patients with prior cardiovascular disease (CVD), which could account for some of the pathological findings in these studies. 15 Also, the Latino population is underrepresented in most reports. 16 Therefore, we decided to evaluate the subacute echocardiographic manifestations of COVID-19 in a Mexican mestizo cohort.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic manifestations during the first 3 months after an episode of COVID-19 and their relationship with disease severity and persistence of symptoms

Vera-Pineda

Carrizales-Sepúlveda

Morales-Rendón

et al. 2023

The American Journal of the Medical Sciences

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“…monitored 45 patients in Italy who had COVID‐19 and observed an association between a persistent reduction in RV free wall strain and disseminated intravascular coagulation in the acute phase, with no modulation through the oxygenation index in the different categories of SARS 25 . On the other hand, two longitudinal studies observed no significant change in the RV free wall strain pattern over time, one of which assessed 123 individuals over an average of 85 days in Italy and the other, 259 in the United States, for an average of 55 days 26,27 …”

Section: Discussionmentioning

confidence: 99%

“…25 On the other hand, two longitudinal studies observed no significant change in the RV free wall strain pattern over time, one of which assessed 123 individuals over an average of 85 days in Italy and the other, 259 in the United States, for an average of 55 days. 26,27 Limitations affected the interpretation of the results. The followup times between COVID-19 and the echocardiogram were highly variable, as well as the methodological limitation related to the retrospective nature of the study.…”

Section: Yesmentioning

confidence: 99%

Abnormal right ventricular echocardiographic findings in recovered patients associated with severe acute respiratory syndrome in COVID‐19

2023

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Background: Right ventricular (RV) echocardiographic changes such as dilation or systolic dysfunction, and pulmonary arterial hypertension were observed in patients with COVID-19. The aim of our study was to determine the frequency of RV echocardiographic changes in patients who have recovered from COVID-19 and to verify the association between severe acute respiratory syndrome (SARS) and echocardiographic findings.Methods: Patients who had recovered from COVID-19 undergoing outpatient followup underwent transthoracic echocardiography, and based on the findings, were divided into two groups: normal and abnormal. It was then verified whether there is an association between SARS and RV echocardiographic abnormalities in recovered patients. Results:The study included 61 patients, with a mean age of 54.2 ± 12.0 years, 57.4% had presented with SARS. The mean period of time between COVID-19 and the echocardiographic examination was 11.9 ± 7.0 months. Patients presented normal left ventricular systolic function. The frequency of RV echocardiographic changes in patients who had recovered from COVID-19 was 44.3%. RV systolic dysfunction was identified in 31.1%, followed by ventricular dilation in 14.7% and pulmonary hypertension in 9.8%. An association was observed between SARS and RV echocardiographic changes in recovered patients during outpatient follow-up (OR: 4.96; 95% CI: 1.37-17.9; p = 0.015). An association was also demonstrated between SARS and RV dilation (p = 0.007) and between SARS and systolic dysfunction (p = 0.028). Conclusion:SARS is a risk factor for abnormal RV echocardiographic findings in patients recovered from COVID-19.

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Serial Left and Right Ventricular Strain Analysis in Patients Recovered from COVID-19

Cited by 9 publications

References 31 publications

Left Atrial Strain evaluation in Post Covid 19 Recovered Patients

Left Atrial Strain evaluation in Post Covid 19 Recovered Patients

Echocardiographic manifestations during the first 3 months after an episode of COVID-19 and their relationship with disease severity and persistence of symptoms

Abnormal right ventricular echocardiographic findings in recovered patients associated with severe acute respiratory syndrome in COVID‐19

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