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Subclinical myocardial dysfunction in patients recovered from COVID-19
- Source :
- Echocardiography (Mount Kisco, N.y.)
- Publication Year :
- 2021
- Publisher :
- John Wiley and Sons Inc, 2021.
-
Abstract
- Background: Myocardial injury (MI) can be detected during the acute phase of Coronavirus disease 19 (COVID-19) and is associated with a dismal prognosis. Recent imaging studies described the persistence of cardiac abnormalities after the recovery. The aim of the study was to investigate the spectrum of cardiac abnormalities at mid-term follow-up in patients recovered from COVID-19 using clinical assessment, laboratory tests, and imaging evaluation with comprehensive echocardiography. Methods: This is an observational, cross-sectional study assessing an unselected cohort of consecutive patients recovered from COVID-19. MI was defined by elevated plasma levels of high sensitive troponin T (hsTnT). At the follow-up, a complete examination including echocardiography was performed. Results: The 123 patients included were divided into two groups according to the presence of MI during hospitalization: group A (without MI) and group B (with MI). After a median of 85 days, group B patients were more frequently symptomatic for dyspnea and had significantly higher values of hsTnT and N-Terminal prohormone of Brain Natriuretic Peptide (NT-proBNP), compared to Group A. No differences between the two groups in left nor right ventricle dimension and ejection fraction were found. However, in group B a significant reduction of mean left ventricle global longitudinal strain was observed (-15.7±.7vs -18.1±.3 in group A, p&nbsp
- Subjects :
- medicine.medical_specialty
Myocarditis
heart failure
Ventricular Function, Left
Group B
strain
COVID‐19
Internal medicine
Natriuretic Peptide, Brain
medicine
Humans
echocardiography
Radiology, Nuclear Medicine and imaging
Subclinical infection
Ejection fraction
business.industry
Myocardium
COVID-19
Heart
Stroke Volume
Original Articles
medicine.disease
Brain natriuretic peptide
Peptide Fragments
Cross-Sectional Studies
medicine.anatomical_structure
Echocardiography
Ventricle
Heart failure
Cohort
Cardiology
Original Article
myocarditis
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Echocardiography (Mount Kisco, N.y.)
- Accession number :
- edsair.doi.dedup.....ac388ad5a2310d6d33552d632d1d8885