在COVID-19中心脏表现的频谱:系统性心声学研究
Yishay Szekely1, Yael Lichter1, Philippe Taieb1
1Tel Aviv Sourasky Medical Center and Sackler School of Medicine, Tel Aviv University, Israel.
Circulation
|May 30, 2020
概括
声心图显示,虽然左心室静脉功能通常在COVID-19患者中保持,但右心室功能障碍和腹腔功能障碍很常见. 损坏影响RV功能最显著.
科学领域:
- 心脏病学
- 传染性疾病
- 肺病学
背景情况:
- 目前尚不清楚COVID-19的心脏表现.
- 心声学提供了全面的心脏功能.
研究的目的:
- 在住院的COVID-19患者中使用心声学系统评估心脏功能.
- 确定常见的心脏病态及其与临床结果的关联.
主要方法:
- 在入院后24小时内,连续100名COVID-19患者接受了综合性心声扫描.
- 评估左心室 (LV) 和右心室 (RV) 功能,膜血液动力学和肺超声波.
- 在临床恶化的情况下进行了随访心声扫描.
主要成果:
- 32% 的患者在基线时心声图正常.
- 最常见的是RV扩张和功能障碍 (39%),其次是静脉静脉扩张 (16%) 和静脉静脉功能障碍 (10%).
- 在临床恶化患者中,VR功能恶化与热水平升高和临床状况恶化有关;VR功能障碍突出.
结论:
- COVID-19 常常会损害 RV 功能和 LV 扩张功能,而 LV 缩功能通常会保持.
- 临床恶化通常与急性RV功能障碍有关,有时与深静脉血栓形成有关.
- 高位素和临床严重程度与VR功能恶化相关.
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