Echocardiographic assessment of cardiac function after mild coronavirus disease 2019: A preliminary report
Beata Uziębło-Życzkowska1, Paweł Krzesiński1, Barbara Domino1
1Department of Cardiology and Internal Diseases, Military Institute of Medicine, Warsaw, Poland.
Insights
Mild COVID-19 infection does not appear to affect heart function in recovered patients. Advanced echocardiography showed normal cardiac performance in individuals who experienced mild coronavirus disease 2019 (COVID-19) symptoms.
Area of Science:
- Cardiology
- Infectious Diseases
- Echocardiography
Background:
- Most coronavirus disease 2019 (COVID-19) cases present mildly.
- The potential impact of mild COVID-19 on cardiac function requires investigation.
- Advanced echocardiography offers detailed assessment of heart performance.
Purpose of the Study:
- To evaluate the short-term effects of mild COVID-19 on heart function.
- To compare cardiac performance in recovered COVID-19 patients versus healthy controls.
- Utilize speckle tracking echocardiography (STE) for comprehensive cardiac assessment.
Main Methods:
- Observational study including 31 recovered mild COVID-19 patients and 28 healthy controls.
- Speckle tracking echocardiography (STE) employed to assess left ventricular (LV), right ventricular (RV), and atrial function.
- Standard echocardiographic parameters and STE-derived strain measures were analyzed.
Main Results:
- No significant differences in LV and RV systolic function were found between COVID-19 survivors and controls.
- Key echocardiographic parameters including LV ejection fraction and global longitudinal strain were comparable.
- Atrial function, assessed via advanced STE, remained unaffected in patients with prior mild COVID-19.
Conclusions:
- Mild COVID-19 infection does not appear to cause short-term cardiac dysfunction.
- Standard and advanced echocardiographic assessments indicate normal heart function post-mild COVID-19.
- Further long-term studies may be warranted to confirm sustained cardiac health.
Purpose:
While most coronavirus disease 2019 (COVID-19) cases are mild, the risk of heart dysfunction remains unknown. The objective of this observational study was to assess the impact of mild COVID-19 on heart function in a short-term follow-up using advanced echocardiography.
Methods:
Our study cohort comprised patients diagnosed with COVID-19 who did not require hospitalization. Speckle tracking echocardiography (STE) was used to assess heart chambers function in the 31 recovered COVID-19 patients, and the results were compared with those of the control group (28 healthy participants).
Results:
Left ventricular (LV) and right ventricular (RV) systolic function was assessed using standard and STE methods and was found to be normal and comparable in both groups (LV ejection fraction [p = 0.075], LV global longitudinal strain [p = 0.123], LV global radial strain [p = 0.630], LV global circumferential strain [p = 0.069], tricuspid annular plane systolic excursion [p = 0.417], tricuspid S' peak systolic velocity [p = 0.622], and RV free wall longitudinal strain [p = 0.749]). Similarly, atrial function was not impacted when assessed using advanced STE.
Conclusions:
The heart function of patients with mild COVID-19 symptoms, assessed using standard and advanced echocardiographic methods, was observed to be normal after a short-term follow-up.
More Related Videos
Related Concept Videos
Imaging Studies for Cardiovascular System I:Echocardiography
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Acute Coronary Syndrome III: Diagnostic Studies
Myocarditis II: Clinical Features and Diagnostic Tests
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy II: Dilated Cardiomyopathy


