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Сlinical and ventricular function parameters in patients with cardiovascular diseases and optimal echocardiographic visualization after COVID-19 pneumonia: results of 2-year prospective follow-up

Authors: Yaroslavskaya E.I., Shirokov N.E., Krinochkin D.V., Osokina N.A., Korovina I.O., Stallings A.D, Migacheva A.V., Akhmetyanov M.A., Gultyaeva E.P.

Company: 1 Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Tomsk, Russian Federation
2 Tyumen State Medical University, Tyumen, Russian Federation

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Type:  Original articles


DOI: https://doi.org/10.24022/1997-3187-2023-17-4-502-513

For citation: Yaroslavskaya E.I., Shirokov N.E., Krinochkin D.V., Osokina N.A., Korovina I.O., Stallings A.D., MigachevaA.V., Akhmetyanov M.A., Gultyaeva E.P. Сlinical and ventricular function parameters in patients with cardiovascular diseases and optimal echocardiographic visualization after COVID-19 pneumonia: results of 2-year prospective follow-up. Creative Cardiology. 2023; 17 (4): 502–13 (in Russ.). DOI: 10.24022/1997-3187-2023-17-4-502-513

Received / Accepted:  07.09.2023 / 28.11.2023

Keywords: cardiovascular disease COVID-19 pneumonia echocardiography longitudinal myocardial deformation ventricular diastolic function

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Abstract

Objective. To study the dynamics and relationships of clinical and echocardiographic (EchoCG) parameters in patients with cardiovascular diseases (CVD) with optimal visualization 3, 12 and 26 months after COVID-19 pneumonia.

Material and methods. The dynamics of clinical data and EchoCG parameters was studied in 86 patients with CVD with optimal visualization in echocardiography 3, 12 and 26 months after COVID-19 pneumonia (56.9±7.9 years, 48.8% of men).

Results. During the follow-up, the body mass index (BMI) of patients increased (29.9±3.9 versus 30.7±4.5 kg/m2 , p<0.001) in the absence of a significant increase in the frequency and severity of CVD. The global left ventricle longitudinal strain increased (19.2±2.3 versus 19.8±2.2%, p=0.034), as well as the global longitudinal endocardial right ventricle strain (20.1±3.3 versus 23.7±5.1%, p=0.004) and systolic velocity of the lateral part of the tricuspid ring (9.0 [7.0; 11.0] cm/s versus 11.0 [9.0; 12.0], p<0.001). Decreased early diastolic velocity of the septal part of the mitral ring (e’ sept) (7.0 [6.0; 8.0] versus 6.0 [5.0; 8.0] cm/s, p=0.014) and maximum diastolic velocity of the lateral part of the tricuspid ring (12.5 [10.8; 14.0] versus 7.0 [6.0; 9.0] cm/s, p<0.001).

Conclusion. Patients with CVD with optimal echocardiography visualization in the long term after COVID-19 pneumonia show an increase in BMI, improvement in ventricular systolic function and worsening of diastolic ventricular function.

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About Authors

  • Elena I. Yaroslavskaya, Dr. Med. Sci., Head of Laboratory, Ultrasonic Diagnostician; ORCID
  • Nikita E. Shirokov, Cand. Med. Sci., Researcher, Ultrasonic Diagnostician; ORCID
  • Dmitriy V. Krinochkin, Cand. Med. Sci., Head of Department; ORCID
  • Nadezhda A. Osokina, Junior Researcher; ORCID
  • Irina O. Korovina, Pulmonologist; ORCID
  • Anastasiya D. Stallings, Research Assistant; ORCID
  • Anastasiya V. Migacheva, Research Assistant; ORCID
  • Marsel A. Akhmetyanov, Neurologist; ORCID
  • Elena P. Gultyaeva, Cand. Med. Sci., Head of Department; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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