دورية أكاديمية
Mid-term subclinical myocardial injury detection in patients who recovered from COVID-19 according to pulmonary lesion severity
العنوان: | Mid-term subclinical myocardial injury detection in patients who recovered from COVID-19 according to pulmonary lesion severity |
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المؤلفون: | Ikram Chamtouri, Rania Kaddoussi, Hela Abroug, Mabrouk Abdelaaly, Taha Lassoued, Nesrine Fahem, Saoussen Cheikh'Hmad, Asma Ben Abdallah, Walid Jomaa, Khaldoun Ben Hamda, Faouzi Maatouk |
المصدر: | Frontiers in Cardiovascular Medicine, Vol 9 (2022) |
بيانات النشر: | Frontiers Media S.A., 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system |
مصطلحات موضوعية: | coronavirus, strain, cardiac, injury, recovery, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
الوصف: | BackgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV 2) may cause damage to the cardiovascular system during the acute phase of the infection. However, recent studies reported mid- to long-term subtle cardiac injuries after recovering from acute coronavirus disease 2019 (COVID-19). This study aimed to determine the relationship between the severity of chest computed tomography (CT) lesions and the persistence of subtle myocardial injuries at mid-term follow-up of patients who recovered from COVID-19 infection.MethodsAll patients with COVID-19 were enrolled prospectively in this study. Sensitive troponin T (hsTnT) and chest CT scans were performed on all patients during the acute phase of COVID-19 infection. At the mid-term follow-up, conventional transthoracic echocardiograph and global longitudinal strain (GLS) of the left and right ventricles (LV and RV) were determined and compared between patients with chest CT scan lesions of < 50% (Group 1) and those with severe chest CT scan lesions of greater or equal to 50% (Group 2).ResultsThe mean age was 55 ± 14 years. Both LV GLS and RV GLS values were significantly decreased in group 2 (p = 0.013 and p = 0.011, respectively). LV GLS value of more than −18 was noted in 43% of all the patients, and an RV GLS value of more than −20 was observed in 48% of them. The group with severe chest CT scan lesions included more patients with reduced LV GLS and reduced RV GLS than the group with mild chest CT scan lesions [(G1:29 vs. G2:57%, p = 0.002) and (G1:36 vs. G2:60 %, p = 0.009), respectively].ConclusionPatients with severe chest CT scan lesions are more likely to develop subclinical myocardial damage. Transthoracic echocardiography (TTE) could be recommended in patients recovering from COVID-19 to detect subtle LV and RV lesions. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2297-055X |
العلاقة: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.950334/fullTest; https://doaj.org/toc/2297-055XTest |
DOI: | 10.3389/fcvm.2022.950334 |
الوصول الحر: | https://doaj.org/article/c0c40bdcc89b4e1d97f93f46707c95b3Test |
رقم الانضمام: | edsdoj.0c40bdcc89b4e1d97f93f46707c95b3 |
قاعدة البيانات: | Directory of Open Access Journals |
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