Accordingly, our study aimed to investigate whether biventricular longitudinal strain were independently predictive of higher mortality in patients with COVID-19 and explore their utility in the follow-up in these patients. However, the prognostic implications of biventricular longitudinal strain in COVID-19 patients has not been well-established.
Furthermore, a number of studies confirmed the prognostic value of biventricular longitudinal strain in various clinical settings ( 6– 8). Recently, left ventricular (LV) and right ventricular (RV) longitudinal strain measured by two-dimensional speckle-tracking echocardiography (2D-STE) has been proposed as more accurate and sensitive indicators of cardiac function in a variety of cardiovascular diseases ( 3– 5). Echocardiography remains the mainstay imaging modality for assessing cardiac function in clinical practice. Although, there is increasing awareness of the cardiovascular involvement in COVID-19 disease and its adverse impact on prognosis ( 1, 2), there is limited data regarding cardiac abnormalities due to SARS-CoV- 2 infection.
#Qlab covid serial
Therefore, biventricular longitudinal strain may be crucial for risk stratification and serial follow-up in patients with COVID-19.Ĭoronavirus disease 2019 (COVID-19), which is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has become a pandemic health crisis. Multivariate Cox analysis revealed that LV GLS 4CH : 1.08 to 1.84 P = 0.011] and RV FWLS (HR: 1.29 95% CI: 1.09–1.52 P = 0.003) were independent predictors of higher mortality in patients with COVID-19.Ĭonclusions: LV GLS 4CH and RV FWLS are independent and strong predictors of higher mortality in COVID-19 patients and can track improvement during the convalescent phase of their illness.
At a 3-month follow-up after discharge, significant improvements were observed in LV GLS 4CH and RV FWLS. Compared with survivors, LV GLS 4CH and RV FWLS were impaired in non-survivors. During hospitalization, 19 patients died. Higher biomarkers levels of inflammation and cardiac injury, and the presence of pericardial effusion were correlated with decreases in LV GLS 4CH and RV FWLS. Patients with cardiac injury displayed decreased LV GLS 4CH and RV FWLS, elevated pulmonary artery systolic pressure, and higher proportion of pericardial effusion. Results: Compared with patients without cardiac injury, those with cardiac injury had higher levels of coagulopathy and inflammatory biomarkers, higher incidence of complications, more mechanical ventilation therapy, and higher mortality.
#Qlab covid free
Left ventricular global longitudinal strain from the apical four-chamber views (LV GLS 4CH) and right ventricular free wall longitudinal strain (RV FWLS) were obtained using two-dimensional speckle-tracking echocardiography. Methods: We enrolled 132 consecutive patients with COVID-19. Therefore, this study sought to investigate the prognostic implications of biventricular longitudinal strain in patients with coronavirus disease 2019 (COVID-19).
0 kommentar(er)
