1. Biventricular strain by speckle tracking echocardiography in COVID-19: findings and possible prognostic implications
- Author
-
Gennaro Giustino, Lori B. Croft, Richard Ro, Malcolm Anastasius, Edgar Argulian, Samin K. Sharma, Stamatios Lerakis, Martin E. Goldman, Annapoorna Kini, Wenli Zhao, and Parasuram Krishnamoorthy
- Subjects
Adult ,Male ,2019-20 coronavirus outbreak ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Short Communication ,medicine.medical_treatment ,coronavirus ,Strain (injury) ,Speckle tracking echocardiography ,030204 cardiovascular system & hematology ,myocardial strain imaging ,transthoracic echocardiography ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Ventricular Dysfunction ,medicine ,Humans ,Intubation ,In patient ,cardiovascular diseases ,030212 general & internal medicine ,speckle tracking echocardiography ,SARS-CoV-2 ,business.industry ,COVID-19 ,Middle Aged ,Prognosis ,medicine.disease ,COVID-19 infection ,Echocardiography ,Risk stratification ,Myocardial strain ,cardiovascular system ,Cardiology ,Molecular Medicine ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
The COVID-19 infection adversely affects the cardiovascular system. Transthoracic echocardiography has demonstrated diagnostic, prognostic and therapeutic utility. We report biventricular myocardial strain in COVID-19. Methods: Biventricular strain measurements were performed for 12 patients. Patients who were discharged were compared with those who needed intubation and/or died. Results: Seven patients were discharged and five died or needed intubation. Right ventricular strain parameters were decreased in patients with poor outcomes compared with those discharged. Left ventricular strain was decreased in both groups but was not statistically significant. Conclusion: Right ventricular strain was decreased in patients with poor outcomes and left ventricular strain was decreased regardless of outcome. Right ventricular strain measurements may be important for risk stratification and prognosis. Further studies are needed to confirm these findings.
- Published
- 2021