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轻度 2019 冠状病毒病后心脏功能的超声心动图评估:初步报告。

Echocardiographic assessment of cardiac function after mild coronavirus disease 2019: A preliminary report.

机构信息

Department of Cardiology and Internal Diseases, Military Institute of Medicine, Warsaw, Poland.

Department of Infectious Diseases and Allergology, Military Institute of Medicine, Warsaw, Poland.

出版信息

J Clin Ultrasound. 2022 Jan;50(1):17-24. doi: 10.1002/jcu.23094. Epub 2021 Oct 30.

Abstract

PURPOSE

While most coronavirus disease 2019 (COVID-19) cases are mild, the risk of heart dysfunction remains unknown. The objective of this observational study was to assess the impact of mild COVID-19 on heart function in a short-term follow-up using advanced echocardiography.

METHODS

Our study cohort comprised patients diagnosed with COVID-19 who did not require hospitalization. Speckle tracking echocardiography (STE) was used to assess heart chambers function in the 31 recovered COVID-19 patients, and the results were compared with those of the control group (28 healthy participants).

RESULTS

Left ventricular (LV) and right ventricular (RV) systolic function was assessed using standard and STE methods and was found to be normal and comparable in both groups (LV ejection fraction [p = 0.075], LV global longitudinal strain [p = 0.123], LV global radial strain [p = 0.630], LV global circumferential strain [p = 0.069], tricuspid annular plane systolic excursion [p = 0.417], tricuspid S' peak systolic velocity [p = 0.622], and RV free wall longitudinal strain [p = 0.749]). Similarly, atrial function was not impacted when assessed using advanced STE.

CONCLUSIONS

The heart function of patients with mild COVID-19 symptoms, assessed using standard and advanced echocardiographic methods, was observed to be normal after a short-term follow-up.

摘要

目的

虽然大多数 2019 年冠状病毒病(COVID-19)病例症状较轻,但心脏功能障碍的风险仍不清楚。本观察性研究的目的是使用先进的超声心动图评估短期随访中轻度 COVID-19 对心脏功能的影响。

方法

我们的研究队列包括无需住院治疗的 COVID-19 确诊患者。使用斑点追踪超声心动图(STE)评估 31 例已康复的 COVID-19 患者的心脏腔室功能,并将结果与对照组(28 名健康参与者)进行比较。

结果

使用标准和 STE 方法评估左心室(LV)和右心室(RV)收缩功能,两组均正常且相似(LV 射血分数 [p=0.075]、LV 整体纵向应变 [p=0.123]、LV 整体径向应变 [p=0.630]、LV 整体环向应变 [p=0.069]、三尖瓣环平面收缩期位移 [p=0.417]、三尖瓣 S'峰值收缩速度 [p=0.622]和 RV 游离壁纵向应变 [p=0.749])。同样,使用先进的 STE 评估时,心房功能也未受到影响。

结论

使用标准和先进的超声心动图方法评估轻度 COVID-19 症状患者的心脏功能,在短期随访后观察到正常。

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