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Short-term cardiac outcome in survivors of COVID-19: a systematic study after hospital discharge
- Source :
- Clinical Research in Cardiology
- Publication Year :
- 2021
-
Abstract
- Background COVID-19 has caused considerable morbidity and mortality worldwide and cardiac involvement has been reported during infection. The short-term cardiac outcome in survivors of COVID-19 is not known. Objective To examine the heart of patients who survived COVID-19 and to compare the cardiac outcome between patients who recovered from mild-to-moderate or severe illness. Methods With use of ECG and echocardiography, we examined the heart of 105 patients who had been hospitalized with COVID-19 and were consecutively recruited after hospital discharge while attending follow-up visits. Survivors of COVID-19 were compared with 105 matched controls. We also compared the cardiac outcome and lung ultrasound scan between COVID-19 patients who had mild-to-moderate or severe illness. Results Cardiac data were collected a median of 41 days from the first detection of COVID-19. Symptoms were present in a low percentage of patients. In comparison with matched controls, no considerable structural or functional differences were observed in the heart of survivors of COVID-19. Lung ultrasound scan detected significantly greater residual pulmonary involvement in COVID-19 patients who had recovered from severe than mild-to-moderate illness. No significant differences were detected in ECG tracings nor were found in the left and right ventricular function of patients who had recovered from mild-to-moderate or severe illness. Conclusions In a short-term follow-up, no abnormalities were identified in the heart of survivors of COVID-19, nor cardiac differences were detected between patients who had different severity of illness. With the limitations of a cross-sectional study, these findings suggest that patients who recover from COVID-19 do not have considerable cardiac sequelae. Graphic abstract
- Subjects :
- Adult
Male
medicine.medical_specialty
2019-20 coronavirus outbreak
Diastolic function
Coronavirus disease 2019 (COVID-19)
Heart Diseases
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
COVID-19
Echocardiography
Lung ultrasound
Systolic function
Tissue-Doppler imaging
Aged
Cross-Sectional Studies
Electrocardiography
Female
Humans
Middle Aged
Patient Discharge
Severity of Illness Index
Survivors
Internal medicine
Severity of illness
medicine
Hospital discharge
Original Paper
Ventricular function
business.industry
General Medicine
Cardiology
business
Cardiology and Cardiovascular Medicine
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Clinical Research in Cardiology
- Accession number :
- edsair.doi.dedup.....d0e2aa6d84224d0ae7e841ccbd832454