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在COVID-19后与心肺功能相关的轻微心肌痕
Tarjei Øvrebotten1,2, Siri Heck3,4, Ingunn Skjørten5
1Division of Medicine, Department of Cardiology, Akershus University Hospital, Lørenskog, Norway, tarjeiovrebotten@gmail.com.
Cardiology
|May 26, 2023
概括
在COVID-19之后的轻微心肌痕不会显著影响心肺功能. 这项研究没有发现这些小痕患者的长期心血管后果.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 肺部医学 肺部医学
背景情况:
- 有关COVID-19后通过心血管磁共振 (CMR) 成像检测到的心肌痕的长期心血管后果存在担忧.
- 这项研究调查了COVID-19相关心肌痕和没有心肌痕的患者的心肺功能.
研究的目的:
- 为了比较COVID-19相关心肌痕和没有心肺功能的患者的心肺功能.
- 评估这些心肌痕的长期临床意义.
主要方法:
- 涉及中度至重度COVID-19患者的前性队列研究.
- 心血管磁共振 (CMR) 成像在COVID-19后的6个月内进行.
- 广泛的心肺检测,包括运动测试,24小时心电图和心声回声,在COVID-19后的3个月和12个月进行.
主要成果:
- 49名患者中有9人 (18%) 在CMR上表现出心肌痕.
- 患有痕和没有痕的患者之间,心肺健康 (氧气吸收峰值) 和心律失常的患病率相似.
- 心脏结构和功能在很大程度上是可比的,在痕患者中,左心室质量增加的趋势.
结论:
- 在COVID-19后由CMR检测到的轻微心肌痕似乎对心肺功能具有有限的临床意义.
- 心肺功能没有显著的纵向变化与心肌痕的存在有关.
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