使用菌株成像检测微妙的心肌干涉后COVID-19患者:一个印度的视角
Deepak Tomar1, Aditya Kapoor1, Zia Hashim2
1Dept of Cardiology, Sanjay Gandhi PGIMS, Lucknow, India.
Indian heart journal
|October 3, 2024
概括
从COVID-19中临床康复的患者显示全球纵向菌株 (GLS) 和RV自由壁纵向菌株 (RVFWLS) 的降低,表明亚临床心肌功能障碍. 使用GLS的心声学对于检测这些变化至关重要,特别是在严重的COVID-19感染后.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 在COVID-19幸存者中评估亚临床心肌功能障碍.
- 使用全球纵向菌株 (GLS) 成像用于早期检测.
- 了解COVID-19后康复的长期心脏影响.
研究的目的:
- 评估从COVID-19中临床康复的患者的全球纵向菌株 (GLS).
- 使用GLS检测微妙的心肌功能障碍.
- 为了将COVID-19的严重程度与心肌菌株参数相关联.
主要方法:
- 该研究包括101名患者 (76%是男性,平均年龄为55.45岁) 和30名对照组.
- 用GLS进行了临床评估和心声回声学.
- 对GLS和RV自由壁纵向应变 (RVFWLS) 的回顾性分析.
主要成果:
- 与对照组 (-18.49 ± 1.64) 相比,COVID-19后患者的平均GLS显著较低 (-16.21 ± 1.96).
- 在COVID-19后的患者中,GLS>-18%的比例更高 (43%与22.58%相比).
- 严重的COVID-19感染是GLS受损的重要预测因素 (OR 7.762).
结论:
- 临床康复的COVID-19患者显示LV GLS和RV FWLS减少,无论临床康复情况如何.
- 斑点跟踪回声心脏图对于在COVID-19后的患者中识别亚临床心肌功能障碍至关重要.
- 心肌张力异常甚至在正常的全球LVEF的情况下也存在.
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