在COVID-19康复患者中对双心脏功能进行序列评估,使用斑点跟踪回声心脏图谱
Shekhar Kunal1, Mohit Dayal Gupta2, Mohd Faizuddin2
1Department of Cardiology, ESIC Medical College and Hospital, Faridabad, Haryana, India.
Indian heart journal
|August 28, 2024
概括
近三分之一的COVID-19幸存者表现出亚临床心脏功能障碍. 心声扫描显示,左心室和右心室功能在一年内显著改善,表明感染后的潜在恢复.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 心声回声图 (Echocardiography) 是一种心声回声图.
背景情况:
- 心肌损伤及其在COVID-19感染后的长期影响需要进一步调查.
- 在从COVID-19中康复的患者中,亚临床心脏功能障碍可能会持续存在.
研究的目的:
- 在COVID-19后的患者中评估亚临床双心脏功能障碍,使用斑点跟踪心声学 (STE).
- 评估COVID-19感染后的一年内心肌损伤的持续性和结果.
主要方法:
- 从COVID-19中康复的189名患者接受了详细的心声回声扫描,包括STE.
- 评估了临床,血液学,生化和炎症标志物.
- 患者根据COVID-19的严重程度 (无症状,轻度,中度,严重) 分类,包括90名健康对照. 随访时间为一年.
主要成果:
- 临床下左心室 (LV) 和右心室 (RV) 功能障碍在基线时分别存在于30.7%和29.1%的患者中.
- 在COVID-19严重程度组中观察到LV全球纵向菌株 (LVGLS) 的显著差异.
- 在一年内,LVGLS和RV自由壁应变 (RVFWS) 显著改善,尽管在随访时,很少有百分比仍然显示出功能障碍.
结论:
- 亚临床LV和RV功能障碍在大约三分之一的康复COVID-19患者中普遍存在.
- 在一年的随访期间,观察到心脏功能显著改善.
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