Strain imaging as a prognostic indicator for complications in COVID-19 patients

Strain imaging as a prognostic indicator for complications in COVID-19 patients

The goal of this study was to determine the potential for right ventricular (RV) and left ventricular (LV) strain to predict cardiopulmonary complications of COVID-19. We identified 276 patients with COVID-19 who underwent transthoracic echocardiography within 30 days of COVID-19 diagnosis at our in...

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Bibliographic Details
Published in:The international journal of cardiovascular imaging Vol. 40; no. 9; pp. 1835 - 1846
Main Authors: Devera, Justin L., Wee, Choo P., Sohn, Jina
Format: Journal Article
Language:English
Published: Dordrecht Springer Netherlands 01-09-2024
Springer Nature B.V
Subjects:
Aged
Bivariate analysis
Cardiac Imaging
Cardiology
Cardiomyopathy
Congestive heart failure
COVID-19
COVID-19 - complications
Diagnosis
Echocardiography
Embolism
Female
Fibrosis
Humans
Hypertension
Imaging
Lung diseases
Male
Medical imaging
Medicine
Medicine & Public Health
Middle Aged
Myocardial infarction
Original Paper
Predictive Value of Tests
Prognosis
Radiology
Respiratory distress syndrome
Retrospective Studies
Risk Factors
SARS-CoV-2
Troponin
Troponin T
Ventricle
Ventricular Dysfunction, Right - diagnostic imaging
Ventricular Dysfunction, Right - etiology
Ventricular Dysfunction, Right - physiopathology
Ventricular Function, Left
Ventricular Function, Right
COVID-19
Speckle-tracking echocardiography
Right ventricular function
Left ventricular function
Strain
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Summary:The goal of this study was to determine the potential for right ventricular (RV) and left ventricular (LV) strain to predict cardiopulmonary complications of COVID-19. We identified 276 patients with COVID-19 who underwent transthoracic echocardiography within 30 days of COVID-19 diagnosis at our institution. Patients were excluded if they had a history of any primary outcomes before COVID-19 diagnosis or insufficient imaging. LV global longitudinal strain (GLS) and RV GLS were obtained using 2-dimensional speckle-tracking echocardiography. Primary outcomes were death, pulmonary embolism, congestive heart failure (CHF), cardiomyopathy, pulmonary fibrosis, pulmonary hypertension, acute respiratory distress syndrome (ARDS), and myocardial infarction (MI) occurring after COVID-19 diagnosis. In the final analysis of 163 patients, mean RV GLS and LV GLS were reduced, and 43.6% developed at least one primary outcome. There were significant differences in LV GLS distribution in terms of CHF, cardiomyopathy, and MI in bivariate analysis. However, LV GLS was not significantly associated with CHF after adjusting for LV ejection fraction and RV fractional area change, nor with MI after adjusting for troponin T. RV GLS was significantly associated with ARDS after adjusting for other variables. In the risk stratification of patients with COVID-19, strain imaging can provide incremental prognostic information, as worsened RV GLS is associated with the development of ARDS.
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ISSN:1875-8312
1569-5794
1875-8312
1573-0743
DOI:10.1007/s10554-024-03170-3