Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge
Coronavirus disease 2019 (COVID-19) is an infectious disease that affects almost all organs and systems. The main target is the respiratory system, but cardiovascular involvement is also common. Today, it is relevant to study the effect of complicated COVID-19 course on the patient’s cardiovascular...
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«FIRMA «SILICEA» LLC
2021-09-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/4620 |
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| author | I. Yaroslavskaya D. V. Krinochkin N. E. Shirokov I. R. Krinochkina E. P. Gultyaeva V. D. Garanina I. O. Korovina A. V. Mamarina N. A. Osokina N. N. Melnikov T. А. Trifanova E. A. Gorbatenko E. А. Gorbatenko |
| author_facet | I. Yaroslavskaya D. V. Krinochkin N. E. Shirokov I. R. Krinochkina E. P. Gultyaeva V. D. Garanina I. O. Korovina A. V. Mamarina N. A. Osokina N. N. Melnikov T. А. Trifanova E. A. Gorbatenko E. А. Gorbatenko |
| author_sort | I. Yaroslavskaya |
| collection | DOAJ |
| description | Coronavirus disease 2019 (COVID-19) is an infectious disease that affects almost all organs and systems. The main target is the respiratory system, but cardiovascular involvement is also common. Today, it is relevant to study the effect of complicated COVID-19 course on the patient’s cardiovascular system after hospital discharge — in particular, echocardiographic parameters.Aim. To study the echocardiographic parameters of patients with COVID-19 pneumonia 3 months after discharge from the hospital.Material and methods. The study included 106 patients with documented COVID-19 pneumonia. Patients underwent a comprehensive examination during hospitalization and 3 months ± 2 weeks after hospital discharge. The mean age of participants was 47±16 years (from 19 to 84 years), while 49% were women.Results. Three months after discharge, the average body mass index of the subjects was 28,2±5,7 kg/m2. Obesity was noted in 37,1%, cardiovascular diseases — in 52%. According to echocardiography, the prevalence of right ventricular (RV) dilatation was 2,9%, a decrease in tricuspid annular plane systolic excursion (TAPSE) — 9,5%, grade ≥2 tricuspid regurgitation — 1,9%, pulmonary hypertension (pulmonary artery systolic pressure >36 mm Hg) — 3,8%. The mean value of RV global longitudinal myocardial strain (GLMS RV) and global longitudinal myocardial strain (GLES RV) was 19,6±4,5 and 20,6±4,6, respectively. We found moderate correlations between GLMS RV and blood flow time through the left ventricular outflow tract (OT) (r=-0,436), through the mitral valve (r=-0,390; both p<0,0001) and through the RVOT (r=-0,348; р=0,004), with cardiac index (CI) (r=0,316; p=0,009), as well as between GLES RV and blood flow time through the LVOT (r=-0,411; p<0,0001) and RVOT (r=-0,300; p=0,005), and with CI (r=0,302; p=0,004). At the same time, the correlation of GLES RV with RV fractional area change (FAC) was weak (r=-0,283; p=0,007), while there was no correlation with the TAPSE. In addition, correlation of GLMS RV with these parameters were not defined.Conclusion. Three months after COVID-19 pneumonia, RV strain parameters were shown to have stronger relationships with time characteristics of flows in LVOT and RVOT, as well as with CI, than with such generally accepted characteristics of RV function as FAC and TAPSE. |
| first_indexed | 2024-04-09T20:44:32Z |
| format | Article |
| id | doaj.art-635f64422961416885951feed77bf128 |
| institution | Directory Open Access Journal |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| last_indexed | 2025-03-14T09:26:04Z |
| publishDate | 2021-09-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj.art-635f64422961416885951feed77bf1282025-03-02T11:42:56Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-09-0126810.15829/1560-4071-2021-46203333Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital dischargeI. Yaroslavskaya0D. V. Krinochkin1N. E. Shirokov2I. R. Krinochkina3E. P. Gultyaeva4V. D. Garanina5I. O. Korovina6A. V. Mamarina7N. A. Osokina8N. N. Melnikov9T. А. Trifanova10E. A. Gorbatenko11E. А. Gorbatenko12Tyumen Cardiology Research Center, Tomsk National Research Medical CenterTyumen Cardiology Research Center, Tomsk National Research Medical Center,Tyumen Cardiology Research Center, Tomsk National Research Medical Center,Tyumen State Medical University; City Clinical Hospital № 1Tyumen Cardiology Research Center, Tomsk National Research Medical CenterTyumen Cardiology Research Center, Tomsk National Research Medical CenterCity Clinical Hospital № 1Tyumen Cardiology Research Center, Tomsk National Research Medical Center,Tyumen State Medical UniversityCity Clinical Hospital № 2Tyumen Cardiology Research Center, Tomsk National Research Medical Center,Tyumen Cardiology Research Center, Tomsk National Research Medical CenterTyumen Cardiology Research Center, Tomsk National Research Medical Center,Coronavirus disease 2019 (COVID-19) is an infectious disease that affects almost all organs and systems. The main target is the respiratory system, but cardiovascular involvement is also common. Today, it is relevant to study the effect of complicated COVID-19 course on the patient’s cardiovascular system after hospital discharge — in particular, echocardiographic parameters.Aim. To study the echocardiographic parameters of patients with COVID-19 pneumonia 3 months after discharge from the hospital.Material and methods. The study included 106 patients with documented COVID-19 pneumonia. Patients underwent a comprehensive examination during hospitalization and 3 months ± 2 weeks after hospital discharge. The mean age of participants was 47±16 years (from 19 to 84 years), while 49% were women.Results. Three months after discharge, the average body mass index of the subjects was 28,2±5,7 kg/m2. Obesity was noted in 37,1%, cardiovascular diseases — in 52%. According to echocardiography, the prevalence of right ventricular (RV) dilatation was 2,9%, a decrease in tricuspid annular plane systolic excursion (TAPSE) — 9,5%, grade ≥2 tricuspid regurgitation — 1,9%, pulmonary hypertension (pulmonary artery systolic pressure >36 mm Hg) — 3,8%. The mean value of RV global longitudinal myocardial strain (GLMS RV) and global longitudinal myocardial strain (GLES RV) was 19,6±4,5 and 20,6±4,6, respectively. We found moderate correlations between GLMS RV and blood flow time through the left ventricular outflow tract (OT) (r=-0,436), through the mitral valve (r=-0,390; both p<0,0001) and through the RVOT (r=-0,348; р=0,004), with cardiac index (CI) (r=0,316; p=0,009), as well as between GLES RV and blood flow time through the LVOT (r=-0,411; p<0,0001) and RVOT (r=-0,300; p=0,005), and with CI (r=0,302; p=0,004). At the same time, the correlation of GLES RV with RV fractional area change (FAC) was weak (r=-0,283; p=0,007), while there was no correlation with the TAPSE. In addition, correlation of GLMS RV with these parameters were not defined.Conclusion. Three months after COVID-19 pneumonia, RV strain parameters were shown to have stronger relationships with time characteristics of flows in LVOT and RVOT, as well as with CI, than with such generally accepted characteristics of RV function as FAC and TAPSE.https://russjcardiol.elpub.ru/jour/article/view/4620covid-19pneumoniacardiovascular diseaseechocardiographymyocardial strain |
| spellingShingle | I. Yaroslavskaya D. V. Krinochkin N. E. Shirokov I. R. Krinochkina E. P. Gultyaeva V. D. Garanina I. O. Korovina A. V. Mamarina N. A. Osokina N. N. Melnikov T. А. Trifanova E. A. Gorbatenko E. А. Gorbatenko Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge Российский кардиологический журнал covid-19 pneumonia cardiovascular disease echocardiography myocardial strain |
| title | Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge |
| title_full | Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge |
| title_fullStr | Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge |
| title_full_unstemmed | Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge |
| title_short | Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge |
| title_sort | echocardiographic characteristics of covid 19 pneumonia survivors three months after hospital discharge |
| topic | covid-19 pneumonia cardiovascular disease echocardiography myocardial strain |
| url | https://russjcardiol.elpub.ru/jour/article/view/4620 |
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