Changes in cardiac hemodynamic parameters in patients after COVID-19
Aim. To study cardiac hemodynamic disorders in patients 3, 6 and 12 months after coronavirus disease 2019 (COVID-19).Material and methods. Sixty-six patients with bilateral pneumonia (mean age, 36,1 years), treated for COVID-19, underwent echocardiography, Doppler ultrasound of hepatolienal blood fl...
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| Language: | Russian |
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«FIRMA «SILICEA» LLC
2023-07-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/5300 |
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| author | M. V. Chistiakova A. V. Govorin V. A. Mudrov T. V. Kalinkina N. A. Medvedeva Ya. V. Kudryavtseva |
| author_facet | M. V. Chistiakova A. V. Govorin V. A. Mudrov T. V. Kalinkina N. A. Medvedeva Ya. V. Kudryavtseva |
| author_sort | M. V. Chistiakova |
| collection | DOAJ |
| description | Aim. To study cardiac hemodynamic disorders in patients 3, 6 and 12 months after coronavirus disease 2019 (COVID-19).Material and methods. Sixty-six patients with bilateral pneumonia (mean age, 36,1 years), treated for COVID-19, underwent echocardiography, Doppler ultrasound of hepatolienal blood flow vessels after 3, 6, 12 months. Patients were divided into groups based on computed tomography (CT) data: group 1 — 21 patients with CT1, group 2 — 25 patients with CT2, group 3 — 20 patients with CT 3-4. In the 3rd group, 60% of patients had excessive weight. IBM SPSS Statistics Version 25.0 was used.Results. Three months after the disease in all groups, there was a impairment of diastolic parameters studied on the tricuspid valve. Patients of the 3rd group had pulmonary hypertension, an increase in splenic vein diameter, and the spleen area. After 6 and 12 months. in all groups, there was an improvement in right ventricular diastolic filling. In group 3, pulmonary artery systolic pressure after 6 months decreased by 6,0 (3,7; 6,5)% (p=0,03), after 1 year by another 8,6 (5,4; 9,1)% (p=0,017). The diameter of the inferior vena cava after 6 months decreased by 4,8 (2,0; 10,2)%, and a year later by another 5,0 (4,4; 6,1)% (p=0,001); the splenic vein diameter decreased after 6 months by 7,3 (3,2; 10,4)% (p=0,005). The left ventricular (LV) global systolic strain reduced after 3, 6 and 12 months.Conclusion. All patients 3 months after COVID-19 had cardiac hemodynamic disorders, which further by 6 and 12 months tend to normalize right ventricular diastolic filling. In patients with CT 3-4, by 12 months after the disease, normalization of pulmonary artery systolic pressure was also noted, a decrease in the diameter of the inferior vena cava and splenic veins, and a decrease in the global LV systolic strain persisted. |
| format | Article |
| id | doaj-art-876420e0e9bf449fa06c01cbb8c8a207 |
| institution | Kabale University |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2023-07-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-876420e0e9bf449fa06c01cbb8c8a2072025-08-20T03:57:22Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202023-07-0128610.15829/1560-4071-2023-53003795Changes in cardiac hemodynamic parameters in patients after COVID-19M. V. Chistiakova0A. V. Govorin1V. A. Mudrov2T. V. Kalinkina3N. A. Medvedeva4Ya. V. Kudryavtseva5Chita State Medical AcademyChita State Medical AcademyChita State Medical AcademyChita State Medical AcademyChita State Medical AcademyChita State Medical AcademyAim. To study cardiac hemodynamic disorders in patients 3, 6 and 12 months after coronavirus disease 2019 (COVID-19).Material and methods. Sixty-six patients with bilateral pneumonia (mean age, 36,1 years), treated for COVID-19, underwent echocardiography, Doppler ultrasound of hepatolienal blood flow vessels after 3, 6, 12 months. Patients were divided into groups based on computed tomography (CT) data: group 1 — 21 patients with CT1, group 2 — 25 patients with CT2, group 3 — 20 patients with CT 3-4. In the 3rd group, 60% of patients had excessive weight. IBM SPSS Statistics Version 25.0 was used.Results. Three months after the disease in all groups, there was a impairment of diastolic parameters studied on the tricuspid valve. Patients of the 3rd group had pulmonary hypertension, an increase in splenic vein diameter, and the spleen area. After 6 and 12 months. in all groups, there was an improvement in right ventricular diastolic filling. In group 3, pulmonary artery systolic pressure after 6 months decreased by 6,0 (3,7; 6,5)% (p=0,03), after 1 year by another 8,6 (5,4; 9,1)% (p=0,017). The diameter of the inferior vena cava after 6 months decreased by 4,8 (2,0; 10,2)%, and a year later by another 5,0 (4,4; 6,1)% (p=0,001); the splenic vein diameter decreased after 6 months by 7,3 (3,2; 10,4)% (p=0,005). The left ventricular (LV) global systolic strain reduced after 3, 6 and 12 months.Conclusion. All patients 3 months after COVID-19 had cardiac hemodynamic disorders, which further by 6 and 12 months tend to normalize right ventricular diastolic filling. In patients with CT 3-4, by 12 months after the disease, normalization of pulmonary artery systolic pressure was also noted, a decrease in the diameter of the inferior vena cava and splenic veins, and a decrease in the global LV systolic strain persisted.https://russjcardiol.elpub.ru/jour/article/view/5300cardiac hemodynamicscovid-19right ventricle |
| spellingShingle | M. V. Chistiakova A. V. Govorin V. A. Mudrov T. V. Kalinkina N. A. Medvedeva Ya. V. Kudryavtseva Changes in cardiac hemodynamic parameters in patients after COVID-19 Российский кардиологический журнал cardiac hemodynamics covid-19 right ventricle |
| title | Changes in cardiac hemodynamic parameters in patients after COVID-19 |
| title_full | Changes in cardiac hemodynamic parameters in patients after COVID-19 |
| title_fullStr | Changes in cardiac hemodynamic parameters in patients after COVID-19 |
| title_full_unstemmed | Changes in cardiac hemodynamic parameters in patients after COVID-19 |
| title_short | Changes in cardiac hemodynamic parameters in patients after COVID-19 |
| title_sort | changes in cardiac hemodynamic parameters in patients after covid 19 |
| topic | cardiac hemodynamics covid-19 right ventricle |
| url | https://russjcardiol.elpub.ru/jour/article/view/5300 |
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