Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Is Left Ventricle Global Longitudinal Strain by Two-Dimensional Speckle Tracking Echocardiography Useful at Detection of Subclinical Myocardial Dysfunction in Patients After Coronavirus-2019 infection?

Version 1 : Received: 20 June 2024 / Approved: 24 June 2024 / Online: 24 June 2024 (06:56:33 CEST)

How to cite: da Nóbrega Borges, J. V.; Abdel Correia Leila, S.; Babu, K.; Burra, S.; Ahmed Shaikh, M.; Majid Shaik, A.; Reddy Takkasila, M.; Hiteshkumar Shah, K.; Jashvantbhai Patel, K. Is Left Ventricle Global Longitudinal Strain by Two-Dimensional Speckle Tracking Echocardiography Useful at Detection of Subclinical Myocardial Dysfunction in Patients After Coronavirus-2019 infection?. Preprints 2024, 2024061641. https://doi.org/10.20944/preprints202406.1641.v1 da Nóbrega Borges, J. V.; Abdel Correia Leila, S.; Babu, K.; Burra, S.; Ahmed Shaikh, M.; Majid Shaik, A.; Reddy Takkasila, M.; Hiteshkumar Shah, K.; Jashvantbhai Patel, K. Is Left Ventricle Global Longitudinal Strain by Two-Dimensional Speckle Tracking Echocardiography Useful at Detection of Subclinical Myocardial Dysfunction in Patients After Coronavirus-2019 infection?. Preprints 2024, 2024061641. https://doi.org/10.20944/preprints202406.1641.v1

Abstract

Introduction: The disease caused by Coronavirus-2019 (COVID-19) was initially described in December 2019. Severe acute respiratory syndrome type 2 (Sars-Cov-2) is responsible for an important multisystem inflammatory spectrum. Cardiovascular conditions have been reported with an estimated frequency of 8-28%. In this context, transthoracic echocardiography associated with the analysis of the two-dimensional Global Longitudinal Strain (GLS) of the left ventricle derived from Speckle Tracking emerges as a promising modality. Objective: This study aims to evaluate the applicability of GLS and segmental deformity assessment in detecting subclinical myocardial dysfunction in patients that recovered from COVID-19 infection. Methods: The observational study involved 18 patients (mean age 52 years) with recent evidence of COVID-19 infection that underwent detailed echocardiographic evaluation with GLS, and cardiac magnetic resonance (CMR) according to segmental assessment results. The degree of correlation between the methods was analyzed and a systematic literature review was also conducted. Results: The mean left ventricular ejection fraction (LVEF) was 57.50 ± 9.98%. Only 16.6% of patients had reduced LVEF. The average GLS was – 18.70 ± 3.54% and in 44% of cases only one myocardial segment was affected, particularly the inferolateral basal. CMR revealed inflammatory cardiomyopathy. Discussion: Subclinical myocardial involvement is associated with major adverse cardiac events. Literature review supports the use of GLS for detecting early cardiac involvement. Conclusion: Speckle-tracking echocardiography has been shown to have clinical utility in a variety of settings and to offer superior prognostic value with a potential to enhance subclinical detection of myocardial changes in patients after COVID-19 infection.

Keywords

Global Longitudinal Strain; COVID-19; Echocardiography

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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