左心室全球纵向菌株作为COVID-19后运动员中轻度心肌功能障碍的参数
Jana Schellenberg1, Magdalena Ahathaller1, Lynn Matits1,2
1Division of Sports and Rehabilitation Medicine, University Ulm Hospital, 89075 Ulm, Germany.
Journal of cardiovascular development and disease
|May 26, 2023
概括
与健康运动员相比,从COVID-19中恢复过来的运动员表现出左心室全球纵向应变 (GLS) 和舒张功能减少. 感染期间的症状与这些心脏变化无关.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 传染性疾病 传染性疾病
背景情况:
- COVID-19可以影响各种器官系统,包括心血管系统.
- 目前尚不完全了解COVID-19对运动员心脏功能的长期影响.
- 左心室全球纵向应变 (GLS) 是心肌功能的一个敏感标志物.
研究的目的:
- 与健康的对照运动员 (CON) 相比,在患有COVID-19 (PCAt) 的运动员中调查左心室全球纵向菌株 (GLS).
- 为了确定COVID-19期间经历的症状是否与GLS或扩张功能受损相关.
- 在COVID-19后的运动员中评估潜在的心肌功能障碍.
主要方法:
- 在四,两,三室视图中对GLS进行心声回声评估.
- 包括来自国家或州队的88名PCAt和52名CON.
- 在COVID-19感染后平均2个月进行评估.
主要成果:
- PCAt显示GLS显著降低 (-18.53 ± 1.94%与19.94 ± 1.42%,p < 0.001) 的情况.
- 在PCAt中,扩张功能显著降低 (E/A 1.54 ± 0.52对1.66 ± 0.43,p = 0.020;E/E'l 5.74 ± 1.74对5.22 ± 1.36,p = 0.024).
- 在GLS和特定的COVID-19症状之间没有发现显著的关联,尽管观察到较低GLS的趋势与感知到的性能限制 (p = 0.054).
结论:
- 在COVID-19后的运动员可能会经历轻度心肌功能障碍,由降低的GLS和扩张功能表明.
- 观察到的心脏变化处于正常范围内,质疑即时的临床相关性.
- 需要进一步的研究来探索减少GLS对运动性能参数的影响.
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