Assessment of The Right Ventricle Using Speckle-Tracking and Global Longitudinal Strain in Patients Recovered From COVID-19 Infection | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 145, Volume 96, Issue 1, July 2024, Pages 3333-3340 PDF (1.03 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2024.381794 | ||
| Abstract | ||
| Background: COVID-19, triggered by the SARS-CoV-2 virus, was shown to have a profound effect on cardiac function. However, the long-term implications of myocardial damage in individuals who have recovered from the infection are not yet fully understood. Aim: This study aimed to identify the early changes in right ventricular (RV) function three months after recovery from COVID-19 using Speckle Tracking Echocardiography (STE) and Global Longitudinal Strain (GLS). Methods: This study was designed as a cross-sectional descriptive analysis and included 104 patients who had recovered from COVID-19 pneumonia during a three-month timeframe. The participants have been categorized into two groups based on the severity of their illness: mild cases and moderate/severe cases. Results: The demographic characteristics of the two groups broadly were similar with no statistically significant differences. The average age of the participants was 48.8 ± 10.7 years, with males representing 55.8% of the study population. The average body mass index (BMI) was 23.6 ± 0.71 kg/m2. Furthermore, 45% of the participants had diabetes, and 34% were diagnosed with hypertension. Significant statistical differences were observed in right ventricular function parameters between the moderate/severe group and the mild group. The moderate/severe group showed a marked early reduction in both RV-GLS and RV-FWLS compared to the mild group. However, no early impairment was detected in right ventricular longitudinal function as measured by TAPSE. Conclusion: Speckle-tracking echocardiography proved to be a valuable tool for early detection of abnormalities that are not easily identified by conventional echocardiography, particularly in assessing strain on the right ventricle. | ||
| Keywords | ||
| COVID-19; RV-GLS; RV-FWLS; Echocardiogram | ||
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