Normalized Cardiac Structure and Function in COVID-19 Survivors Late After Recovery

Background: Coronavirus disease 2019 can result in myocardial injury in the acute phase. However, information on the late cardiac consequences of coronavirus disease 2019 (COVID-19) is limited.Methods: We conducted a prospective observational cohort study to investigate the late cardiac consequences...

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Autores principales: Yi-Ping Gao, Wei Zhou, Pei-Na Huang, Hong-Yun Liu, Xiao-Jun Bi, Ying Zhu, Jie Sun, Qiao-Ying Tang, Li Li, Jun Zhang, Rui-Ying Sun, Xue-Qing Cheng, Ya-Ni Liu, You-Bin Deng
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/f396dc0fb707493084eabb0e5755579a
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spelling oai:doaj.org-article:f396dc0fb707493084eabb0e5755579a2021-12-01T13:15:40ZNormalized Cardiac Structure and Function in COVID-19 Survivors Late After Recovery2297-055X10.3389/fcvm.2021.756790https://doaj.org/article/f396dc0fb707493084eabb0e5755579a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.756790/fullhttps://doaj.org/toc/2297-055XBackground: Coronavirus disease 2019 can result in myocardial injury in the acute phase. However, information on the late cardiac consequences of coronavirus disease 2019 (COVID-19) is limited.Methods: We conducted a prospective observational cohort study to investigate the late cardiac consequences of COVID-19. Standard echocardiography and myocardial strain assessment were performed, and cardiac blood biomarkers were tested in 86 COVID-19 survivors 327 days (IQR 318–337 days) after recovery. Comparisons were made with 28 age-matched and sex-matched healthy controls and 30 risk factor-matched patients.Results: There were no significant differences in all echocardiographic structural and functional parameters, including left ventricular (LV) global longitudinal strain, right ventricular (RV) longitudinal strain, LV end-diastolic volume, RV dimension, and the ratio of peak early velocity in mitral inflow to peak early diastolic velocity in the septal mitral annulus (E/e') among COVID-19 survivors, healthy controls and risk factor-matched controls. Even 26 patients with myocardial injury at admission did not have any echocardiographic structural and functional abnormalities. There were no significant differences among the three groups with respect to serum concentrations of N-terminal pro-B-type natriuretic peptide (NT-proBNP) and high-sensitivity cardiac troponin I (cTnI).Conclusion: This study showed that COVID-19 survivors, including those with myocardial injury at admission and those with severe and critical types of illness, do not have any echocardiographic evidence of cardiac structural and functional abnormalities 327 days after diagnosis.Yi-Ping GaoWei ZhouPei-Na HuangHong-Yun LiuXiao-Jun BiYing ZhuJie SunQiao-Ying TangLi LiJun ZhangRui-Ying SunXue-Qing ChengYa-Ni LiuYou-Bin DengFrontiers Media S.A.articleCOVID-19speckle tracking echocardiographymyocardial strainNT-proBNPtroponinDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
speckle tracking echocardiography
myocardial strain
NT-proBNP
troponin
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle COVID-19
speckle tracking echocardiography
myocardial strain
NT-proBNP
troponin
Diseases of the circulatory (Cardiovascular) system
RC666-701
Yi-Ping Gao
Wei Zhou
Pei-Na Huang
Hong-Yun Liu
Xiao-Jun Bi
Ying Zhu
Jie Sun
Qiao-Ying Tang
Li Li
Jun Zhang
Rui-Ying Sun
Xue-Qing Cheng
Ya-Ni Liu
You-Bin Deng
Normalized Cardiac Structure and Function in COVID-19 Survivors Late After Recovery
description Background: Coronavirus disease 2019 can result in myocardial injury in the acute phase. However, information on the late cardiac consequences of coronavirus disease 2019 (COVID-19) is limited.Methods: We conducted a prospective observational cohort study to investigate the late cardiac consequences of COVID-19. Standard echocardiography and myocardial strain assessment were performed, and cardiac blood biomarkers were tested in 86 COVID-19 survivors 327 days (IQR 318–337 days) after recovery. Comparisons were made with 28 age-matched and sex-matched healthy controls and 30 risk factor-matched patients.Results: There were no significant differences in all echocardiographic structural and functional parameters, including left ventricular (LV) global longitudinal strain, right ventricular (RV) longitudinal strain, LV end-diastolic volume, RV dimension, and the ratio of peak early velocity in mitral inflow to peak early diastolic velocity in the septal mitral annulus (E/e') among COVID-19 survivors, healthy controls and risk factor-matched controls. Even 26 patients with myocardial injury at admission did not have any echocardiographic structural and functional abnormalities. There were no significant differences among the three groups with respect to serum concentrations of N-terminal pro-B-type natriuretic peptide (NT-proBNP) and high-sensitivity cardiac troponin I (cTnI).Conclusion: This study showed that COVID-19 survivors, including those with myocardial injury at admission and those with severe and critical types of illness, do not have any echocardiographic evidence of cardiac structural and functional abnormalities 327 days after diagnosis.
format article
author Yi-Ping Gao
Wei Zhou
Pei-Na Huang
Hong-Yun Liu
Xiao-Jun Bi
Ying Zhu
Jie Sun
Qiao-Ying Tang
Li Li
Jun Zhang
Rui-Ying Sun
Xue-Qing Cheng
Ya-Ni Liu
You-Bin Deng
author_facet Yi-Ping Gao
Wei Zhou
Pei-Na Huang
Hong-Yun Liu
Xiao-Jun Bi
Ying Zhu
Jie Sun
Qiao-Ying Tang
Li Li
Jun Zhang
Rui-Ying Sun
Xue-Qing Cheng
Ya-Ni Liu
You-Bin Deng
author_sort Yi-Ping Gao
title Normalized Cardiac Structure and Function in COVID-19 Survivors Late After Recovery
title_short Normalized Cardiac Structure and Function in COVID-19 Survivors Late After Recovery
title_full Normalized Cardiac Structure and Function in COVID-19 Survivors Late After Recovery
title_fullStr Normalized Cardiac Structure and Function in COVID-19 Survivors Late After Recovery
title_full_unstemmed Normalized Cardiac Structure and Function in COVID-19 Survivors Late After Recovery
title_sort normalized cardiac structure and function in covid-19 survivors late after recovery
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/f396dc0fb707493084eabb0e5755579a
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