在COVID-19住院后进行短期心声回声监测:重点关注急性后早期变化
Oleksii Honchar1, Tetiana Ashcheulova1
1Department of Propedeutics of Internal Medicine, Nursing and Bioethics, Kharkiv National Medical University, Kharkiv, Ukraine.
COVID-19幸存者经常表现出心脏重塑和腹功能障碍,影响长期健康. 这些心脏变化,包括缩功能受损,在出院后持续一个月,突显了康复患者心脏监测的必要性.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- COVID-19感染与长期的身体功能障碍有关,影响生活质量和工作能力.
- 在COVID-19康复者中,细微的心脏结构和功能变化可能会导致持续的症状和长期COVID综合征.
- 这些心脏变化可能在没有特定监测的情况下无法被检测到.
研究的目的:
- 调查COVID-19住院治疗后心脏改造的特征特征.
- 评估COVID-19幸存者的心脏功能障碍的短期动态.
- 为了在COVID-19后期识别潜在的心脏损害的早期迹象.
主要方法:
- 一项联合的横截面和纵向队列研究,涉及176名住院的COVID-19患者.
- 在出院前和一个月后进行全面的胸前心电回声学.
- 与88名年龄,性别,身高和体重相匹配的健康个体组成的对照组进行了比较.
主要成果:
- 59%的患者表现出集中的左心室几何形状,包括43%的非高血压患者.
- 一级的透气功能障碍是普遍存在的 (35%的整体,25%的非高血压).
- 观察到左心室壁厚度的轻微增加和腹筋指数和全球纵向应变的恶化,在1个月的随访中持续存在.
结论:
- 住院的COVID-19患者经常出现左心室同心重塑和扩张功能障碍.
- 在这些患者中,纵向心功能略有下降.
- 这些心脏变化,即使在非高血压小组中也观察到,在出院后的一个月内也在很大程度上持续.
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