Cardiovascular Abnormalities and Mental Health Difficulties Result in a Reduced Quality of Life in the Post-Acute COVID-19 Syndrome

(1) Background: Post-acute COVID-19 syndrome, characterized by persisting symptoms up to 12 weeks after the acute illness, impairs numerous people’s physical and mental health. (2) Methods: 64 inpatients and 79 outpatients, aged under 55 years, with post-acute COVID-19, were evaluated by a transthor...

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Autores principales:	Catalina Giurgi-Oncu, Cristina Tudoran, Gheorghe Nicusor Pop, Cristina Bredicean, Silvius Alexandru Pescariu, Ana Giurgiuca, Mariana Tudoran
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	post-acute COVID-19 mental illness anxiety depression cardiovascular complications quality of life Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/86d50f8c9b6c4d87a2c19bcb08af2e8c
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spelling	oai:doaj.org-article:86d50f8c9b6c4d87a2c19bcb08af2e8c2021-11-25T16:57:45ZCardiovascular Abnormalities and Mental Health Difficulties Result in a Reduced Quality of Life in the Post-Acute COVID-19 Syndrome10.3390/brainsci111114562076-3425https://doaj.org/article/86d50f8c9b6c4d87a2c19bcb08af2e8c2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1456https://doaj.org/toc/2076-3425(1) Background: Post-acute COVID-19 syndrome, characterized by persisting symptoms up to 12 weeks after the acute illness, impairs numerous people’s physical and mental health. (2) Methods: 64 inpatients and 79 outpatients, aged under 55 years, with post-acute COVID-19, were evaluated by a transthoracic echocardiography (TTE), mental health examination, Quality of Life (QoL) questionnaire, post-COVID-19 functional status scale (PCFS) and Hospital Anxiety and Depression Scale (HADS). (3) Results: all inpatients had mild/moderate pulmonary injury during acute COVID-19, in contrast to 37.97% of outpatients. Inpatients who reported an average of 5 persisting symptoms, had, predominantly, level 3 PCFS and a median QoL of 62, compared to outpatients, who reported an average of 3 symptoms, level 1 PCFS and a median QoL score of 70. Increased pulmonary artery pressure was detected in 28.11% of inpatients, compared to 17.72% of outpatients, while diastolic dysfunction was diagnosed in 28.12% of inpatients, in comparison with 20.25% of outpatients (<i>p</i> = 0.02). Abnormal systolic function was assessed in 9.37% of inpatients, and 7.58% of outpatients. According to the HADS depression subscale, 46.87% of inpatients and 27.84% of outpatients had clinical depression. Concomitantly, anxiety was detected in 34.37% of inpatients and 40.5% of outpatients (4) Conclusions: cardiovascular and mental health difficulties were frequently detected in patients with post-acute symptoms of COVID-19, which correlated with the number and intensity of persisting symptoms and reduced QoL scores.Catalina Giurgi-OncuCristina TudoranGheorghe Nicusor PopCristina BrediceanSilvius Alexandru PescariuAna GiurgiucaMariana TudoranMDPI AGarticlepost-acute COVID-19mental illnessanxietydepressioncardiovascular complicationsquality of lifeNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1456, p 1456 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	post-acute COVID-19 mental illness anxiety depression cardiovascular complications quality of life Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	post-acute COVID-19 mental illness anxiety depression cardiovascular complications quality of life Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Catalina Giurgi-Oncu Cristina Tudoran Gheorghe Nicusor Pop Cristina Bredicean Silvius Alexandru Pescariu Ana Giurgiuca Mariana Tudoran Cardiovascular Abnormalities and Mental Health Difficulties Result in a Reduced Quality of Life in the Post-Acute COVID-19 Syndrome
description	(1) Background: Post-acute COVID-19 syndrome, characterized by persisting symptoms up to 12 weeks after the acute illness, impairs numerous people’s physical and mental health. (2) Methods: 64 inpatients and 79 outpatients, aged under 55 years, with post-acute COVID-19, were evaluated by a transthoracic echocardiography (TTE), mental health examination, Quality of Life (QoL) questionnaire, post-COVID-19 functional status scale (PCFS) and Hospital Anxiety and Depression Scale (HADS). (3) Results: all inpatients had mild/moderate pulmonary injury during acute COVID-19, in contrast to 37.97% of outpatients. Inpatients who reported an average of 5 persisting symptoms, had, predominantly, level 3 PCFS and a median QoL of 62, compared to outpatients, who reported an average of 3 symptoms, level 1 PCFS and a median QoL score of 70. Increased pulmonary artery pressure was detected in 28.11% of inpatients, compared to 17.72% of outpatients, while diastolic dysfunction was diagnosed in 28.12% of inpatients, in comparison with 20.25% of outpatients (<i>p</i> = 0.02). Abnormal systolic function was assessed in 9.37% of inpatients, and 7.58% of outpatients. According to the HADS depression subscale, 46.87% of inpatients and 27.84% of outpatients had clinical depression. Concomitantly, anxiety was detected in 34.37% of inpatients and 40.5% of outpatients (4) Conclusions: cardiovascular and mental health difficulties were frequently detected in patients with post-acute symptoms of COVID-19, which correlated with the number and intensity of persisting symptoms and reduced QoL scores.
format	article
author	Catalina Giurgi-Oncu Cristina Tudoran Gheorghe Nicusor Pop Cristina Bredicean Silvius Alexandru Pescariu Ana Giurgiuca Mariana Tudoran
author_facet	Catalina Giurgi-Oncu Cristina Tudoran Gheorghe Nicusor Pop Cristina Bredicean Silvius Alexandru Pescariu Ana Giurgiuca Mariana Tudoran
author_sort	Catalina Giurgi-Oncu
title	Cardiovascular Abnormalities and Mental Health Difficulties Result in a Reduced Quality of Life in the Post-Acute COVID-19 Syndrome
title_short	Cardiovascular Abnormalities and Mental Health Difficulties Result in a Reduced Quality of Life in the Post-Acute COVID-19 Syndrome
title_full	Cardiovascular Abnormalities and Mental Health Difficulties Result in a Reduced Quality of Life in the Post-Acute COVID-19 Syndrome
title_fullStr	Cardiovascular Abnormalities and Mental Health Difficulties Result in a Reduced Quality of Life in the Post-Acute COVID-19 Syndrome
title_full_unstemmed	Cardiovascular Abnormalities and Mental Health Difficulties Result in a Reduced Quality of Life in the Post-Acute COVID-19 Syndrome
title_sort	cardiovascular abnormalities and mental health difficulties result in a reduced quality of life in the post-acute covid-19 syndrome
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/86d50f8c9b6c4d87a2c19bcb08af2e8c
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Cardiovascular Abnormalities and Mental Health Difficulties Result in a Reduced Quality of Life in the Post-Acute COVID-19 Syndrome

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