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Updated: Jul 22, 2025

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Echocardiographic Assessment Of Left Ventricular Function After COVID-19 Vaccination In Adults
Hala Ahmed Mohamed Ahmed Wahdan1, Reda Biomy2, Wael Anwer Haseeb1
1Department of Cardiology, Kafrelsheikh University,Egypt.
Insights
COVID-19 vaccines showed no significant impact on left ventricular function. Echocardiography assessments confirmed acceptable safety profiles for various vaccine types, including AstraZeneca, Pfizer-BioNTech, and Sinopharm.
Area of Science:
- Cardiology
- Vaccinology
- Echocardiography
Background:
- Left ventricular function is a key indicator of cardiac health.
- Assessing the impact of coronavirus disease-2019 (COVID-19) vaccines on cardiac function is crucial for public health.
- Echocardiography, including speckle tracking, is a primary tool for evaluating left ventricular performance.
Purpose of the Study:
- To evaluate left ventricular function using conventional and speckle tracking echocardiography in individuals vaccinated against COVID-19.
- To determine if COVID-19 vaccination affects global longitudinal strain (GLS).
- To compare the cardiac safety profiles of different COVID-19 vaccine types.
Main Methods:
- A cohort study involving 100 adult participants who received COVID-19 vaccines.
- Echocardiography performed at baseline and two weeks post-vaccination to assess GLS.
- Analysis included conventional echocardiography, speckle tracking, and statistical comparison of pre- and post-vaccination parameters.
Main Results:
- No significant difference was observed in global longitudinal strain before and after COVID-19 vaccination (p<0.063).
- The study included participants who received AstraZeneca, Pfizer-BioNTech, and Sinopharm vaccines.
- No significant variation in GLS was found between different vaccine types (p=0.584).
Conclusions:
- COVID-19 vaccines demonstrated acceptable safety profiles concerning left ventricular function.
- The assessed vaccines (AstraZeneca, Pfizer-BioNTech, Sinopharm) did not adversely affect cardiac function.
- Echocardiographic evaluation supports the cardiac safety of COVID-19 vaccination.
Objectives:
To assess left ventricular function by conventional and speckle tracking echocardiography in subjects having received coronavirus disease-2019 vaccine.
Method:
The cohortstudy was conducted from April 2021 to April 2022 at the Department of Cardiology, Kafrelsheikh University Hospital, Egypt, and comprised adults of either gender who had received coronavirus disease-2019 vaccine. Detailed history was noted before clinical assessment, electrocardiogram and echocardiography, which were done at baseline and after two weeks of the last vaccine dose. Apical 4, apical 3 and apical 2 strains were obtained to get the global longitudinal strain. Data was analysed using SPSS 20.
Results:
Of the 100 subjects, 50(50%) each were males and females. The overall mean age was 39.20±14.57 years. There were 16(16%) subjects with diabetes mellitus and 21(21%) with hypertension. Regarding vaccine distribution, 34(34%) had received AstraZeneca AZD1222, 31(31%) had BioNTech Pfizer vaccine BNT162B2 and 35(35%) had Sinopharm Beijing Institute of Biological Products BBIBP-CorV. The global longitudinal strain before and after vaccination did not show a significant difference (p<0.063). There was no significant variation in global longitudinal strain between the various vaccination types (p=0.584).
Conclusions:
The studied vaccines had similarly acceptable safety profiles regarding left ventricular functions.
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