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April 26, 2023EchocardiographyOpen Access

Long‐term prognostic impact of subclinical myocardial dysfunction in patients recovered from COVID‐19

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Key result

Subclinical myocardial dysfunction, present in 34% of patients recovered from COVID-19 pneumonia at 7 months, was a strong independent predictor of long-term MACE (AUC 0.73).

Why the study?

Cardiovascular sequelae, subclinical myocardial dysfunction, and long-COVID symptoms occur after COVID-19, but their long-term prognostic role in patients recovered from COVID-19 pneumonia remained undefined.

Does subclinical myocardial dysfunction predict major adverse cardiovascular events in patients recovered from COVID-19 pneumonia?

Population

110 patients recovered from COVID-19 pneumonia hospitalized at a single institution

Comparison

Subclinical myocardial dysfunction and long-COVID condition vs their absence

Design

Prospective cohort study

Follow-up

21-month clinical follow-up after a 7-month evaluation

Authors

FCF. CannataHumanitas UniversityGPGiuseppe PintoHumanitas UniversityMCMauro ChiaritoInterventional Cardiology

Discussion

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Member takes

Overview

May support risk stratification with speckle-tracking echo in COVID-19 survivors; hypothesis-generating for intervention trials.

Study Design

Type

Cohort (n=110)

Multicenter

No

Structured PICO

Does subclinical myocardial dysfunction predict major adverse cardiovascular events in patients recovered from COVID-19 pneumonia?

P
Population
110 patients recovered from COVID-19 pneumonia, evaluated at 7 months and followed for an additional 21 months.
E
Exposure
Subclinical myocardial dysfunction (left ventricular global longitudinal strain ≥-18% assessed by speckle-tracking echocardiography at 7 months)
C
Comparator
Absence of subclinical myocardial dysfunction
O
Outcome
Major adverse cardiovascular events (MACE), a composite of myocardial infarction, stroke, heart failure hospitalization, and all-cause mortalitycomposite

Subclinical myocardial dysfunction assessed by speckle-tracking echocardiography is common in COVID-19 survivors and independently predicts long-term major adverse cardiovascular events.

Cite This Study

Cannata et al. (2023) conducted a cohort in COVID-19 pneumonia (n=110). Subclinical myocardial dysfunction vs. No subclinical myocardial dysfunction was evaluated on Major adverse cardiovascular events (MACE), a composite of myocardial infarction, stroke, heart failure hospitalization, and all-cause mortality. Subclinical myocardial dysfunction, present in 34% of patients recovered from COVID-19 pneumonia at 7 months, was a strong independent predictor of long-term MACE (AUC 0.73).

synapsesocial.com/papers/6a9db57ec7afa52503d9a8bchttps://doi.org/10.1111/echo.15575
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Subclinical myocardial dysfunction in patients recovered from COVID‐192021 · 25 citations
  2. 2Biventricular Longitudinal Strain Predict Mortality in COVID-19 Patients2021 · 43 citations
  3. 3Abnormal Left Ventricular Global Longitudinal Strain By Speckle Tracking Echocardiography in COVID-19 Patients2020 · 50 citations
  4. 4Prevalence and Prognostic Value of Subclinical Left Ventricular Systolic Dysfunction by Global Longitudinal Strain in a Community-Based Cohort2014 · 263 citations
  5. 5Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance2021 · 402 citations