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Left ventricular global longitudinal strain in low cardiac risk outpatients who recently recovered from coronavirus disease 2019.
Turan, Turhan; Özderya, Ahmet; Sahin, Sinan; Konus, Ali Hakan; Kul, Selim; Akyüz, Ali Riza; Kalaycioglu, Ezgi; Sayin, Muhammet Rasit.
  • Turan T; Department of Cardiology, University of Health Sciences Trabzon Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Vatan St. Ortahisar, Trabzon, 61000, Turkey. drtt61@gmail.com.
  • Özderya A; Department of Cardiology, University of Health Sciences Trabzon Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Vatan St. Ortahisar, Trabzon, 61000, Turkey.
  • Sahin S; Department of Cardiology, University of Health Sciences Trabzon Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Vatan St. Ortahisar, Trabzon, 61000, Turkey.
  • Konus AH; Department of Cardiology, University of Health Sciences Trabzon Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Vatan St. Ortahisar, Trabzon, 61000, Turkey.
  • Kul S; Department of Cardiology, University of Health Sciences Trabzon Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Vatan St. Ortahisar, Trabzon, 61000, Turkey.
  • Akyüz AR; Department of Cardiology, University of Health Sciences Trabzon Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Vatan St. Ortahisar, Trabzon, 61000, Turkey.
  • Kalaycioglu E; Department of Cardiology, University of Health Sciences Trabzon Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Vatan St. Ortahisar, Trabzon, 61000, Turkey.
  • Sayin MR; Department of Cardiology, University of Health Sciences Trabzon Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Vatan St. Ortahisar, Trabzon, 61000, Turkey.
Int J Cardiovasc Imaging ; 37(10): 2979-2989, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1356014
ABSTRACT
The cardiac sequelae of coronavirus disease 2019 (COVID-19), a worldwide global pandemic, are still uncertain, particularly in the asymptomatic, low cardiac risk outpatient population. This study aims to evaluate the asymptomatic, low cardiac risk out-patient population who recently recovered from COVID-19, using 2-D left ventricular-global longitudinal strain (LV-GLS) proven to be capable of detecting subclinical myocardial injury. Out of 305 COVID-19 positive patients, 70 asymptomatic out-patients were determined as the study group and 70 age and sex-matched healthy adults as the control group. The echocardiographic examination was performed with the Philips IE33 system, and LV-GLS was measured using commercially available software QLAB 9 (cardiac motion quantification; Philips Medical Systems). The absolute value of LV-GLS ≤ 18 did deem to be impaired LV-GLS. The absolute value of LV-GLS was statistically significantly lower in the COVID-19 group than in healthy controls (19.17 ± 2.65 vs. 20.07 ± 2.19, p = 0.03). The correlation between having recovered from COVID-19 and impaired LV-GLS (≤18) did detect with the Pearson correlation test (p = 0.02). Having recovered from COVID-19 was found as a predictor for detecting impaired LV-GLS (≤18) in the multivariable logistic regression analysis (odds ratio, 0.133 (0.038-0.461); 95% CI, p = 0.001). This study suggests that COVID-19 may cause subclinical LV dysfunction detected by LV-GLS during early recovery even in a population of patients at low cardiac risk, asymptomatic, and recovered with home quarantine. The study findings indicate that the long-term cardiovascular follow-up of these patients may be more important than thought.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ventricular Dysfunction, Left / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Humans Language: English Journal: Int J Cardiovasc Imaging Journal subject: Diagnostic Imaging Year: 2021 Document Type: Article Affiliation country: S10554-021-02376-z

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ventricular Dysfunction, Left / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Humans Language: English Journal: Int J Cardiovasc Imaging Journal subject: Diagnostic Imaging Year: 2021 Document Type: Article Affiliation country: S10554-021-02376-z