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Abnormal echocardiographic findings after COVID-19 infection: a multicenter registry.
Garcia-Zamora, Sebastián; Picco, José M; Lepori, Augusto J; Galello, Marcela I; Saad, Ariel K; Ayón, Miguel; Monga-Aguilar, Nancy; Shehadeh, Issam; Manganiello, Carlos F; Izaguirre, Cintia; Fallabrino, Luciano N; Clavero, Matias; Mansur, Flavia; Ghibaudo, Sebastián; Sevilla, Daniela; Cado, Cesar A; Priotti, Mauricio; Liblik, Kiera; Gastaldello, Natalio; Merlo, Pablo M.
  • Garcia-Zamora S; Department of Cardiology & Echocardiography Laboratory, Delta Clinic, CP: 2000, Rosario, Argentina. sebagz83@gmail.com.
  • Picco JM; Institute of Cardiology and Sports Medicine Wolff, Mendoza, Argentina.
  • Lepori AJ; Institute of Cardiology and Cardiovascular Surgery, Posadas, Misiones, Argentina.
  • Galello MI; Echocardiography Laboratory, Southern Scientific Foundation, Adrogué, Argentina.
  • Saad AK; Echocardiography Laboratory, Investigaciones Médicas, Buenos Aires, Argentina.
  • Ayón M; Echocardiography Laboratory, Sanatorio Junín, Catamarca, Argentina.
  • Monga-Aguilar N; Argentine Association of Critical Ultrasonography, ASARUC, Buenos Aires, Argentina.
  • Shehadeh I; Echocardiography Laboratory, Clinica Cardiovision. Esteio, Rio Grande do Sul, Brasil.
  • Manganiello CF; Hospital de Bolívar Dr. Miguel Capredoni. Bolívar, Buenos Aires, Argentina.
  • Izaguirre C; Echocardiography Laboratory, Clínica Adventista de Belgrano, Buenos Aires, Argentina.
  • Fallabrino LN; Echocardiography Laboratory, CID Centro de Diagnóstico, Buenos Aires, Argentina.
  • Clavero M; Echocardiography Laboratory, Sanatorio Allende, Córdoba, Argentina.
  • Mansur F; Echocardiography Laboratory, Investigaciones Médicas, Buenos Aires, Argentina.
  • Ghibaudo S; Cardiovascular Institute of Buenos Aires, Buenos Aires, Argentina.
  • Sevilla D; Echocardiography Laboratory, Investigaciones Médicas, Buenos Aires, Argentina.
  • Cado CA; Echocardiography Laboratory, Clínica Adventista de Belgrano, Buenos Aires, Argentina.
  • Priotti M; Echocardiography Laboratory, Sanatorio Junín, Catamarca, Argentina.
  • Liblik K; Department of Cardiology & Echocardiography Laboratory, Delta Clinic, CP: 2000, Rosario, Argentina.
  • Gastaldello N; Department of Medicine, Queen's University, Kingston, ON, Canada.
  • Merlo PM; Echocardiography Laboratory, Investigaciones Médicas, Buenos Aires, Argentina.
Int J Cardiovasc Imaging ; 39(1): 77-85, 2023 Jan.
Article in English | MEDLINE | ID: covidwho-2308582
ABSTRACT
The Coronavirus Disease 2019 (COVID-19) pandemic has transformed health systems worldwide. There is conflicting data regarding the degree of cardiovascular involvement following infection. A registry was designed to evaluate the prevalence of echocardiographic abnormalities in adults recovered from COVID-19. We prospectively evaluated 595 participants (mean age 45.5 ± 14.9 years; 50.8% female) from 10 institutions in Argentina and Brazil. Median time between infection and evaluation was two months, and 82.5% of participants were not hospitalized for their infection. Echocardiographic studies were conducted with General Electric equipment; 2DE imaging and global longitudinal strain (GLS) of both ventricles were performed. A total of 61.7% of the participants denied relevant cardiovascular history and 41.8% had prolonged symptoms after resolution of COVID-19 infection. Mean left ventricular ejection fraction (LVEF) was 61.0 ± 5.5% overall. In patients without prior comorbidities, 8.2% had some echocardiographic abnormality 5.7% had reduced GLS, 3.0% had a LVEF below normal range, and 1.1% had wall motion abnormalities. The right ventricle (RV) was dilated in 1.6% of participants, 3.1% had a reduced GLS, and 0.27% had reduced RV function. Mild pericardial effusion was observed in 0.82% of participants. Male patients were more likely to have new echocardiographic abnormalities (OR 2.82, p = 0.002). Time elapsed since infection resolution (p = 0.245), presence of symptoms (p = 0.927), or history of hospitalization during infection (p = 0.671) did not have any correlation with echocardiographic abnormalities. Cardiovascular abnormalities after COVID-19 infection are rare and usually mild, especially following mild infection, being a low GLS of left and right ventricle, the most common ones in our registry. Post COVID cardiac abnormalities may be more frequent among males.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiovascular Abnormalities / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Int J Cardiovasc Imaging Journal subject: Diagnostic Imaging Year: 2023 Document Type: Article Affiliation country: S10554-022-02706-9

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiovascular Abnormalities / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Int J Cardiovasc Imaging Journal subject: Diagnostic Imaging Year: 2023 Document Type: Article Affiliation country: S10554-022-02706-9