在COVID-19后患者的心脏功能障碍和亚临床动脉样硬化
Angela Cozma1, Violeta Briciu2, Adela Viviana Sitar-Tăut1
1Department of Internal Medicine, 'Iuliu Haţieganu' University of Medicine and Pharmacy Cluj-Napoca, Romania.
长期COVID可能会在轻度至中度病例中导致持久的心血管问题. 这些包括透支功能障碍和变化的心室动脉合,需要持续监测.
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:
- 随着COVID-19的流行,全球医疗保健系统继续受到压力.
- 焦点正在从急性COVID-19转移到其长期健康后果.
- 了解SARS-CoV-2感染对心血管的影响至关重要.
研究的目的:
- 评估SARS-CoV-2感染在轻度至中度病例中的心血管影响.
- 为了追踪6个月内这些心血管变化的演变.
- 为了确定特定的心血管后续,并为诊断和后续策略提供信息.
主要方法:
- 一项前性观察性研究,涉及103名轻度至中度COVID-19患者.
- 心声图和动脉硬度参数在基线和6个月后被测量.
- 分析的重点是透缩功能,射出分数,应变和心室动脉合.
主要成果:
- 在基线和6个月后,在中度COVID-19的男性中观察到显著的透缩功能障碍 (左心房体积).
- 在轻度和中度COVID-19中观察到的全球纵向菌株变化.
- 室腔动脉合在6个月后在中度COVID-19中显著改变.
- 在中度疾病的男性中增加了缩性肺动脉压;观察到亲密介质厚度变化.
结论:
- 即使在轻度至中度的病例中,COVID-19也可能导致持续的心血管变化.
- 长期的心血管后果包括透支功能障碍和心室功能的改变.
- 适当的诊断调查和随访对于管理COVID-19后心血管并发症至关重要.
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