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Erschienen in: The International Journal of Cardiovascular Imaging 1/2021

18.11.2020 | COVID-19 | Original Paper Zur Zeit gratis

The relation between left ventricular global longitudinal strain and troponin levels in patients hospitalized with COVID-19 pneumonia

verfasst von: Betul Balaban Kocas, Gokhan Cetinkal, Ozgur Selim Ser, Hakan Kilci, Kudret Keskin, Safiye Nur Ozcan, Yildiz Verdi, Mustafa Ismet Zeren, Kadriye Kilickesmez

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 1/2021

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Abstract

Left ventricular global longitudinal strain (LVGLS) from two-dimensional speckle-tracking echocardiography (2D-STE) provides a more accurate estimation of subclinical myocardial dysfunction. In patients with COVID-19, elevated high sensitive troponin (hs-TnI) levels are frequent independent from the underlying cardiovascular disease. However, the relationship between high troponin levels and LVGLS in such patients remains unknown. We aimed to investigate the relation between troponin levels and LVGLS values in patients with COVID-19. A total of thirty-eight patients diagnosed with COVID-19 pneumonia who underwent echocardiography examination within the first week of hospital admission were enrolled in our study. Patients were divided into two groups according to their hs-TnI levels. Conventional left venticular (LV) function parameters, including ejection fraction, LV diastolic and systolic volumes were obtained and LVGLS was determined using 2D-STE. Frequency of hypertension, diabetes mellitus and current smoking were similar among groups. Compared with the patients in the negative troponin group, those in the positive troponin group were more likely to have a higher age; higher levels of D-dimer, C-reactive protein and ferritin; higher need for high-flow oxygen, invasive mechanical ventilation therapy or both; and a higher number of intensive care unit admissions. There was no statistically significant difference in LVGLS and ejection fraction values between the two groups.(− 18.5 ± 2.9, − 19.8 ± 2.8, p = 0.19; 55.2 ± 9.9, 59.5 ± 5.9, p = 0.11 respectively). Despite troponin increase is highly related to in-hospital adverse events; no relevance was found between troponin increase and LVGLS values of COVID-19 patients.
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Metadaten
Titel
The relation between left ventricular global longitudinal strain and troponin levels in patients hospitalized with COVID-19 pneumonia
verfasst von
Betul Balaban Kocas
Gokhan Cetinkal
Ozgur Selim Ser
Hakan Kilci
Kudret Keskin
Safiye Nur Ozcan
Yildiz Verdi
Mustafa Ismet Zeren
Kadriye Kilickesmez
Publikationsdatum
18.11.2020
Verlag
Springer Netherlands
Schlagwort
COVID-19
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 1/2021
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-020-02102-1

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