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

15.08.2020 | COVID-19 | Original Paper Zur Zeit gratis

Evaluation of biventricular function in patients with COVID-19 using speckle tracking echocardiography

verfasst von: Omer Faruk Baycan, Hasan Ali Barman, Adem Atici, Adem Tatlisu, Furkan Bolen, Pınar Ergen, Sacit Icten, Baris Gungor, Mustafa Caliskan

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

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Abstract

A new infectious outbreak sustained by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is now spreading all around the world. The aim of this study was to evaluate the prognostic value of left ventricular global longitudinal strain (LV-GLS) and right ventricular longitudinal strain (RV-LS) in patients with coronavirus disease 2019 (COVID-19). In this prospective, single-center study, data were gathered from patients treated for COVID-19 between April 15 and April 30, 2020. Two-dimensional echocardiography (2-DE) and speckle tracking echocardiography (STE) images were obtained for all patients. Patients were divided into three groups: those with severe COVID-19 infection, those with non-severe COVID-19 infection, and those without COVID-19 infection (the control group). Data regarding clinical characteristics and laboratory findings were obtained from electronic medical records. The primary endpoint was in-hospital mortality. A total of 100 patients hospitalized for COVID-19 were included in this study. The mean age of the severe group (n = 44) was 59.1 ± 12.9, 40% of whom were male. The mean age of the non-severe group (n = 56) was 53.7 ± 15.1, 58% of whom were male. Of these patients, 22 died in the hospital. In patients in the severe group, LV-GLS and RV-LS were decreased compared to patients in the non-severe and control groups (LV-GLS: − 14.5 ± 1.8 vs. − 16.7 ± 1.3 vs. − 19.4 ± 1.6, respectively [p < 0.001]; RV-LS: − 17.2 ± 2.3 vs. − 20.5 ± 3.2 vs. − 27.3 ± 3.1, respectively [p < 0.001]). The presence of cardiac injury, D-dimer, arterial oxygen saturation (SaO2), LV-GLS (OR 1.63, 95% confidence interval [CI] 1.08–2.47; p = 0.010) and RV-LS (OR 1.55, 95% CI 1.07–2.25; p = 0.019) were identified as independent predictors of mortality via multivariate analysis. LV-GLS and RV-LS are independent predictors of in-hospital mortality in patients with COVID-19.
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Metadaten
Titel
Evaluation of biventricular function in patients with COVID-19 using speckle tracking echocardiography
verfasst von
Omer Faruk Baycan
Hasan Ali Barman
Adem Atici
Adem Tatlisu
Furkan Bolen
Pınar Ergen
Sacit Icten
Baris Gungor
Mustafa Caliskan
Publikationsdatum
15.08.2020
Verlag
Springer Netherlands
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/s10554-020-01968-5

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