Department of Ultrasound, Changsha First Hospital, Changsha, 410005 Hunan, China.
Respiratory and Critical Care Center, Changsha First Hospital, Changsha 410005, China.
Comput Math Methods Med. 2022 Jul 14;2022:6161015. doi: 10.1155/2022/6161015. eCollection 2022.
This research was aimed at exploring the changes in right ventricular function in patients after the recovery of coronavirus disease 2019 (COVID-19) under echocardiography and providing a reference for the rehabilitation and treatment of COVID-19 patients. Three echocardiographic follow-up examinations were performed on 40 recovered COVID-19 patients and 40 healthy people. Right ventricular function between patients after COVID-19 rehabilitation and healthy people was compared. The mean values of right ventricular fractional area change (RVFAC), tricuspid annular plane systolic excursion (TAPSE), right ventricular ejection fraction (RVEF), right myocardial performance index (RMPI), and tricuspid annular plane systolic speed (S') were compared between patients after COVID-19 rehabilitation and healthy subjects. The technical parameters of two-dimensional speckle tracking were compared. The results showed that the differences in RVFAC, TAPSE, RVEF, and RMPI between COVID-19 patients and healthy controls were not significant during the three follow-up periods ( > 0.05). At the first follow-up, the S' was 12.78 cm/s in COVID-19 patients and 13.18 cm/s in healthy subjects. At the second follow-up, the S' was 11.98 cm/s in COVID-19 patients and 12.77 cm/s in healthy subjects. At the third follow-up, the S' was 12.79 cm/s in COVID-19 patients and 13.12 cm/s in healthy subjects. There was no significant difference between the two groups ( > 0.05). In addition, there was no significant difference in right ventricular function between COVID-19 patients and healthy controls, and there was no significant difference in cardiovascular symptoms ( > 0.05). In summary, COVID-19 had no substantial effect on right ventricular function and better recovery in patients.
这项研究旨在探讨超声心动图下新冠肺炎（COVID-19）患者康复后右心室功能的变化，为 COVID-19 患者的康复和治疗提供参考。对 40 例康复的 COVID-19 患者和 40 例健康人进行了 3 次超声心动图随访检查。比较 COVID-19 康复后患者与健康人之间的右心室功能。比较 COVID-19 康复后患者与健康人之间右心室分数面积变化（RVFAC）、三尖瓣环平面收缩期位移（TAPSE）、右心室射血分数（RVEF）、右心肌性能指数（RMPI）和三尖瓣环平面收缩期速度（S'）的平均值。比较二维斑点追踪技术参数。结果表明，COVID-19 患者与健康对照组在三个随访期内 RVFAC、TAPSE、RVEF 和 RMPI 差异均无统计学意义（>0.05）。在第一次随访时，COVID-19 患者的 S'为 12.78cm/s，健康受试者为 13.18cm/s。在第二次随访时，COVID-19 患者的 S'为 11.98cm/s，健康受试者为 12.77cm/s。在第三次随访时，COVID-19 患者的 S'为 12.79cm/s，健康受试者为 13.12cm/s。两组间差异无统计学意义（>0.05）。此外，COVID-19 患者与健康对照组之间的右心室功能无显著差异，心血管症状也无显著差异（>0.05）。综上所述，COVID-19 对患者的右心室功能影响不大，恢复情况较好。
