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315914

Speckle tracking echocardiographic assessment of Left ventricular global longitudinal strain in patients recovered from COVID-19

Article

Last updated: 24 Dec 2024

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Tags

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Abstract

Background: The COVID-19 infection has firmly established itself as a pandemic that can affect many body systems, including the cardiovascular system.2D speckle tracking echocardiography (2D-STE) can diagnose early subclinical myocardial dysfunction, as many studies have reported an inverse correlation of increased cardiac biomarkers level with global longitudinal strain (GLS) values among COVID-19 patients. Aim: This study assessed the global Left ventricular strain using speckle tracking echocardiography in patients recently recovered from COVID-19 infection. Patients and methods: This study was done in Benha University Hospital from June 2022 to January 2023 and included 100 patients who had positive COVID-19 diagnosis proved by positive polymerase chain reaction (PCR) test of the nasopharyngeal swab within 30 ±5 days. Results: Patients were classified according to the upper laboratory limit of the hs-troponin (11.6) into two groups; with myocardial injury (hs-troponin > 11.6) and without myocardial injury (hs-troponin ≤ 11.6). Patients with myocardial injury had significantly lower EF and LVGLS (P < 0.001). No significant differences were observed regarding ECG abnormality, D-dimer, and TLC. Moreover, LVGLS showed significant negative correlations with age (P < 0.001), hs-troponin (P = 0.013), and D-dimer (P = 0.013). In contrast, it showed a significant positive correlation with EF (P < 0.001), and no significant correlation was observed with TLC (P = 0.408). Conclusion: Serial measurements of cardiac troponin and LVGLS following recovery from COVID‐19 infection has an incremental prognostic value and can be used to evaluate the progression of sub‐clinical LV dysfunction.

DOI

10.21608/bmfj.2023.223376.1853

Keywords

COVID-19, myocardial injury, Cardiac troponin, global longitudinal strain

Authors

First Name

Abdelrahman

Last Name

Abdelrahman

MiddleName

Gamal

Affiliation

Department of cardiovascular medicine Faculty of medicine &amp;ndash; Benha University

Email

abdogamala2@gmail.com

City

-

Orcid

-

First Name

Heba

Last Name

MANSOUR

MiddleName

Abdelkader

Affiliation

Professor of cardiovascular medicine Faculty of medicine &ndash; Benha University

Email

heba_mansour@yahoo.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Hamouda

MiddleName

Ahmed

Affiliation

Assistant professor of cardiovascular medicine Faculty of medicine &ndash; Benha University

Email

mahamoda@hotmail.com

City

Benha

Orcid

0000-0002-3980-7106

First Name

Safaa

Last Name

Imam

MiddleName

Salah

Affiliation

Lecturer of cardiovascular medicine Faculty of medicine &ndash; Benha University

Email

safaa.salah.emam@gmail.com

City

-

Orcid

-

Volume

41

Article Issue

3

Related Issue

48801

Issue Date

2024-07-01

Receive Date

2023-07-16

Publish Date

2024-07-01

Page Start

57

Page End

63

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_315914.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=315914

Order

452

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

Speckle tracking echocardiographic assessment of Left ventricular global longitudinal strain in patients recovered from COVID-19

Details

Type

Article

Created At

24 Dec 2024