Register
Forgot your password?

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

For correspondence:  Sign in or register.

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



Subscribe 🔒

 

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.

References

  1. Yaroslavskaya E.I., Krinochkin D.V., Shirokov N.E., Gorbatenko E.A., Krinochkina I.R., Gultyaeva E.P. et al. Comparison of clinical and echocardiographic parameters of patients with COVID-19 pneumonia three months and one year after discharge. Kardiologiia. 2022; 62 (1): 13–23 (in Russ.). DOI: 10.18087/cardio.2022.1.n1859
  2. Arutyunov G.P., Tarlovskaya E.I., Arutyunov A.G., BelenkovYu.N., Konradi A.O., Lopatin Yu. M. et al. Comparative analysis of echocardiographic and electrocardiographic data of survivors and deceased patients with COVID-19 (sub-analysis of the international register “Dynamics analysis of comorbidities in SARS-CoV-2 survivors”). Russian Journal of Cardiology. 2022; 27 (3): 4855 (in Russ.). DOI: 10.15829/1560-4071-2022-4855
  3. Mirzoev N.T., Pugachev M.I., Kireeva E.B. Cardiovascular complications in patients with COVID-19. Bulletin of the Russian Military Medical Academy. 2022; 24 (1): 199–208 (in Russ.). DOI: 10.17816/brmma90733
  4. Chistyakova M.V., Zaitsev D.N., Govorin A.V., Medvedeva N.A., Kurokhtina A.A. Post-COVID-19 syndrome: morphofunctional abnormalities of the heart and arrhythmias. Russian Journal of Cardiology. 2021; 26 (7): 4485 (in Russ.). DOI: 10.15829/1560-4071-2021-4485
  5. Vakhnenko Yu.V., Dorovskikh I.E., Domke A.P. Cardiovascular component of post-COVID-19-syndrome. Pacific Medical Journal. 2022; 1: 56–64 (in Russ.). DOI: 10.34215/1609-1175-2022-1-56-64
  6. Idrisova G.B., Galikeeva A.Sh., Sharafutdinov M.A., Zinnurova A.R., Valiev A.Sh. Peculiarities of manifestations of chronic diseases after a COVID-19 coronavirus infection. Ural Medical Journal. 2022; 21 (3): 15–20 (in Russ.). DOI: 10.52420/2071-5943-2022-21-3-15-20
  7. Lewis A., Rayner J.J., Abdesselam I., Neubauer S., Rider O.J. Obesity in the absence of comorbidities is not related to clinically meaningful left ventricular hypertrophy. Int. J. Cardiovasc. Imaging. 2021; 37 (7): 2277–81. DOI: 10.1007/s10554-021-02207-1
  8. Julayanont P., Nasreddine Z.S. (Eds.). Montreal Cognitive Assessment (MoCA): concept and clinical review. Cognitive screening instruments: a practical approach. 2rd ed. Switzerland: Springer Nature; 2017.
  9. Pieske B., Tschöpe C., de Boer R.A., Fraser A.G., Anker S.D., Donal E. et al. How to diagnose heart failure with preserved ejection fraction: the HFA–PEFF diagnostic algorithm: a consensus recommendation from the Heart Failure Association (HFA) of the European Society of Cardiology (ESC). Eur. Heart J. 2019; 40 (40): 3297–317. DOI: 10.1093/eurheartj/ehz641
  10. Lang R.M., Badano L.P., Mor-Avi V., Afilalo J., Armstrong A., Ernande L. et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J. Am. Soc. Echocardiogr. 2015; 28 (1): 1–39.e14. DOI: 10.1016/j.echo.2014.10.003
  11. Badano L.P., Kolias T.J., Muraru D., Abraham T.P., Aurigemma G., Edvardsen T. et al. Standardization of left atrial, right ventricular, and right atrial deformation imaging using twodimensional speckle tracking echocardiography: a consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging. Eur. Heart J. Cardiovasc. Imaging. 2018; 19 (6): 591–600. DOI: 10.1093/ehjci/jey042
  12. Alcidi G.M., Esposito R., Evola V., Santoro C., Lembo M., Sorrentino R. et al. Normal reference values of multilayer longitudinal strain according to age decades in a healthy population: a single-centre experience. Eur. Heart J. Cardiovasc. Imaging. 2018; 19 (12): 1390–6. DOI: 10.1093/ehjci/jex306
  13. Medvedofsky D., Koifman E., Jarrett H., Miyoshi T., Rogers T., Ben-Dor I. et al. Association of right ventricular longitudinal strain with mortality in patients undergoing transcatheter aortic valve replacement. J. Am. Soc. Echocardiogr. 2020; 33 (4): 452– 60. DOI: 10.1016/j.echo.2019.11.014
  14. Bieber S., Kraechan A., Hellmuth J.C., Muenchhoff M., SchererC., Schroederet I. et al. Left and right ventricular dysfunction in patients with COVID-19-associated myocardial injury. Infection. 2021; 49 (3): 491–500. DOI: 10.1007/s15010-020-01572-8
  15. Marwick T.H., Gillebert T.C., Aurigemma G., Chirinos J., Derumeaux G., Galderisi M. et al. Recommendations on the use of echocardiography in adult hypertension: a report from the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE). Eur. Heart J. Cardiovasc. Imaging. 2015; 16 (6): 577–605. DOI: 10.1093/ehjci/jev076
  16. Dzhioeva O.N., Maksimova O.A., Rogozhkina E.A., Drapkina O.M. Aspects of transthoracic echocardiography protocol in obese patients. Russian Journal of Cardiology. 2022; 27 (12): 5243 (in Russ.). DOI: 10.15829/1560-4071-2022-5243
  17. De Simone G., Devereux R.B., Roman M.J. Alderman M.H., Laragh J.H. Relation of obesity and gender to left ventricular hypertrophy in normotensive and hypertensive adults. Hypertension. 1994; 23: 600–6.
  18. Diagnosis, treatment, prevention of obesity and associated diseases. National clinical guidelines. Russian Cardiological Society. Russian Scientific Medical Society of Therapists. Antihypertensive League. Association of Clinical Pharmacologists. St. Petersburg; 2017.
  19. Fedoseeva D.О., Sokolov I.M., Shvarts Yu.G. Hypertensive disease after moderate coronavirus infection. The results of sixmonth follow-up. Russian Journal of Cardiology. 2023; 28 (2S): 5357 (in Russ.). DOI: 10.15829/1560-4071-2023-5357
  20. Shirokov N.E., Yaroslavskaya E.I., Krinochkin D.V., Osokina N.A., Musikhina N.A., Petelina T.I. Left ventricular segmental strain based on speckle tracking echocardiography versus indications of immune inflammation in patients after COVID-19 pneumonia. Russian Open Medical Journal. 2023; 12: e0206. DOI: 10.15829/1728-8800-2023-343
  21. Chistiakova M.V., Govorin A.V., Mudrov V.A., Kalinkina T.V., Medvedeva N.A., Kudryavtseva Ya.V. Changes in cardiac hemodynamic parameters in patients after COVID-19. Russian Journal of Cardiology. 2023; 28 (6): 5300 (in Russ.). DOI: 10.15829/1560-4071-2023-5300

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


Sort by