Post covid assesment of right and left ventricular global longitudinal strain

Rameshwar, Rudra; Kadiyala, Madhavi; Hanumanram, Gowtham; Kannan, R. Jagadeesh; Kumar, Senthil; Damodaran, J.; Nandhini, S

doi:10.1016/j.ihj.2022.02.007

Cited by 2 publications

(1 citation statement)

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“…We decided to exclude the septum from the measurement in order to have more specific data for RV function. Rameshwar et al [37] reported a subclinical RV dysfunction in 21% of patients, but they considered an RVGLS impairment with different cut-off value (>−24%) and they performed the study 2 weeks after discharge.…”

Section: Discussionmentioning

confidence: 99%

Subclinical Myocardial Injury in Patients Recovered from COVID-19 Pneumonia: Predictors and Longitudinal Assessment

Cecchetto

Torreggiani

Guarnieri

et al. 2023

JCDD

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(1) Background: Emerging data regarding patients recovered from COVID-19 are reported in the literature, but cardiac sequelae have not yet been clarified. To quickly detect any cardiac involvement at follow-up, the aims of the research were to identify: elements at admission predisposing subclinical myocardial injury at follow up; the relationship between subclinical myocardial injury and multiparametric evaluation at follow-up; and subclinical myocardial injury longitudinal evolution. (2) Methods and Results: A total of 229 consecutive patients hospitalised for moderate to severe COVID-19 pneumonia were initially enrolled, of which 225 were available for follow-up. All patients underwent a first follow-up visit, which included a clinical evaluation, a laboratory test, echocardiography, a six-minute walking test (6MWT), and a pulmonary functional test. Of the 225 patients, 43 (19%) underwent a second follow-up visit. The median time to the first follow-up after discharge was 5 months, and the median time to the second follow-up after discharge was 12 months. Left ventricular global longitudinal strain (LVGLS) and right ventricular free wall strain (RVFWS) were reduced in 36% (n = 81) and 7.2% (n = 16) of the patients, respectively, at first the follow-up visit. LVGLS impairment showed correlations with patients of male gender (p 0.008, OR 2.32 (95% CI 1.24–4.42)), the presence of at least one cardiovascular risk factor (p < 0.001, OR 6.44 (95% CI 3.07–14.9)), and final oxygen saturation (p 0.002, OR 0.99 (95% CI 0.98–1)) for the 6MWTs. Subclinical myocardial dysfunction had not significantly improved at the 12-month follow-ups. (3) Conclusions: in patients recovered from COVID-19 pneumonia, left ventricular subclinical myocardial injury was related to cardiovascular risk factors and appeared stable during follow-up.

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Section: Discussionmentioning

confidence: 99%