轻度COVID-19感染的康复患者的心声评估:一个病例对照研究
Hedieh Alimi1, Leila Bigdelu1, Hoorak Poorzand1
1Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Journal of cardiovascular echography
|August 1, 2024
概括
轻度的COVID-19可以导致持续的心脏变化,即使在健康的人身上也是如此. 心声图有助于评估心脏功能,并监测感染后的康复.
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:
- 新冠病毒病2019 (COVID-19) 呈现出显著的心脏表现和全球健康负担.
- 了解即使是轻微的COVID-19的长期心脏影响对于患者管理至关重要.
研究的目的:
- 为了评估轻度COVID-19感染对心脏功能的影响.
- 在没有先前存在结构性心脏病的患者中评估心脏变化.
主要方法:
- 100名患有轻度COVID-19的门诊患者 (康复后3周至3个月) 与105名健康对照人进行了比较.
- 在所有参与者身上进行了全面的胸前心电回声学.
主要成果:
- COVID-19患者的全球纵向应变,肺动脉压力和右心室 (RV) 参数 (RV E',RV A') 增加.
- 在COVID-19组中观察到隔膜组织速度降低和左心室喷射率 (LVEF).
- 在COVID-19幸存者中,异常的LVEF (<55%) 和中度/严重的透析功能障碍更为普遍.
结论:
- 轻度的COVID-19可以诱导心脏功能和结构的改变.
- 心声图对于评估心脏风险和COVID-19后患者的随访非常有价值.
- 这些发现强调了即使在轻微的SARS-CoV-2感染后,心脏监测的重要性.
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