在COVID-19患者中的心声图和心电图发现:一个横截面研究
Faeze Keihanian1,2, Hoorak Poorzand3,4, Amin Saeidinia2,5
1Department of Cardiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
The international journal of cardiovascular imaging
|September 19, 2023
概括
COVID-19 感染可以直接伤害心脏,即使在没有先前心脏病的患者中也是如此. 心声图对于评估心脏功能和预测这些患者的死亡风险非常有价值.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19造成的直接心血管损伤仍然不完全理解.
- 在没有先前存在心脏病的COVID-19患者中评估心脏功能至关重要.
研究的目的:
- 评估SARS-CoV-2感染对心脏功能的影响,使用心电图和心声图.
- 确定COVID-19患者重新住院和30天死亡率的预测因素.
主要方法:
- 在142名进入伊玛目雷扎医院的COVID-19患者 (年龄大于18岁) 的横截面研究.
- 通过逆转录酶聚合酶链反应 (PCR) 确认COVID-19的诊断.
- 在入院后的第一周内进行全面的胸前回声心脏成像.
主要成果:
- 在入院时低O2和预测重新入院.
- 右心室 (RV) 尺寸,脂质不良,排泄分数 (EF),年龄,静脉压,O2和和糖尿病独立预测了30天的死亡率.
- 心声图显示,在一些没有先前结构性心脏病的患者中,心室功能障碍.
结论:
- 心声谱有助于对COVID-19患者的风险分层,特别是那些患有糖尿病和脂质失调症的人.
- 感染SARS-CoV-2可以导致心室功能障碍,不管之前有没有心脏病史.
- 早期心脏评估对于管理COVID-19患者至关重要.
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