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- Title
Echocardiographic Assessment of Recovered Patients with Mild COVID‑19 Infection: A Case–Control Study.
- Authors
Alimi, Hedieh; Bigdelu, Leila; Poorzand, Hoorak; Ghaderi, Fereshteh; Emadzadeh, Maryam; Yadollahi, Asal; Izadi‑Moud, Azadeh; Fazlinezhad, Afsoon; Danesh, Maedeh Rezaei
- Abstract
Context: Coronavirus disease 2019 (COVID‑19) has been revealed as a severe illness with a wide‑ranging cardiac manifestation and has a worldwide burden on the health‑care system. Aims: Our aim in this study is to assess the impact of mild COVID‑19 infection on cardiac function in patients without previous structural heart disease. Settings and Design: We evaluated 100 outpatients with a history of mild COVID‑19 infection without needing hospitalization within 3 weeks to 3 months after recovery from the acute phase of the illness between August 2020 and July 2021. Subjects and Methods: The patients were compared with 105 healthy participants without a history of COVID‑19 as the control group. All participants underwent comprehensive transthoracic echocardiography. Statistical Analysis Used: Data were analyzed using IBM SPSS statistics 23. For all tests, P < 0.05 was defined as statistically significant. Results: COVID‑19 patients had higher global longitudinal strain (P = 0.001), systolic pulmonary artery pressure (P = 0.008), RV E’ (P = 0.049), and RV A’ (P = 0.003), while had lower septal tissue velocities (P = 0.01) and left ventricular ejection fraction (EF) (LVEF) (P = 0.03). Abnormal EF (LVEF <55%) was noted in 19% of the COVID‑19 patients and 8.6% of the control group (P = 0.03). Moderate or more diastolic dysfunction was noted in 10 COVID‑19 patients but only in one participant in the control group (P = 0.005). Conclusions: Mild COVID‑19 infection can result in cardiac functional and structural changes, even in patients without known previous structural heart disease. Echocardiography can be a useful modality for risk assessment and follow‑up in patients with COVID‑19.
- Publication
Journal of Cardiovascular Echography, 2024, Vol 34, Issue 2, p72
- ISSN
2211-4122
- Publication type
Article
- DOI
10.4103/jcecho.jcecho_3_24