PMID- 33555535 OWN - NLM STAT- MEDLINE DCOM- 20210708 LR - 20220218 IS - 1875-8312 (Electronic) IS - 1569-5794 (Print) IS - 1569-5794 (Linking) VI - 37 IP - 6 DP - 2021 Jun TI - The effect of moderate and severe COVID-19 pneumonia on short-term right ventricular functions: a prospective observational single pandemic center analysis. PG - 1883-1890 LID - 10.1007/s10554-021-02171-w [doi] AB - It has been reported that myocardial damage and heart failure are more common in COVID-19 patients with severe symptoms. The aim of our study was to measure the right ventricular functions of COVID-19 patients 30 days after their discharge, and compare them to the right ventricular functions of healthy volunteers. Fifty one patients with COVID-19 and 32 healthy volunteers who underwent echocardiographic examinations were enrolled in our study. 29 patients were treated for severe and 22 patients were treated for moderate COVID-19 pneumonia. The study was conducted prospectively, in a single center, between 15 May 2020 and 15 July 2020. We analyzed the right ventricular functions of the patients using conventional techniques and two-dimensional speckle-tracking. Right ventricular end-diastolic and end-systolic area were statistically higher than control group. The right ventricular fractional area change (RVFAC) was significantly lesser in the patient group compared to the control group. Tricuspid annular plane systolic motion (TAPSE) was within normal limits in both groups, it was lower in the patient group compared to the control group. Pulmonary artery pressure was found to be significantly higher in the patient group. Right ventricular global longitudinal strain (RV-GLS) was lesser than the control group (- 15.7 [(- 12.6)-(- 18.7)] vs. - 18.1 [(- 14.8)-(- 21)]; p 0.011). Right ventricular free wall strain (RV-FWS) was lesser in the patient group compared to the control group (- 16 [(- 12.7)-(- 19)] vs - 21.6 [(- 17)-(- 25.3)]; p < 0.001). We found subclinical right ventricular dysfunction in the echocardiographies of COVID-19 patients although there were no risk factors. FAU - Gunay, Nuran AU - Gunay N AUID- ORCID: 0000-0003-3779-6957 AD - Department of Cardiology, Umraniye Training and Research Hospital, University of Health Sciences, Elmalikent, Adem Yavuz Cd., Umraniye, 34764, Istanbul, Turkey. nurangunaydr@gmail.com. FAU - Demiroz, Onder AU - Demiroz O AD - Department of Cardiology, Umraniye Training and Research Hospital, University of Health Sciences, Elmalikent, Adem Yavuz Cd., Umraniye, 34764, Istanbul, Turkey. FAU - Kahyaoglu, Muzaffer AU - Kahyaoglu M AD - Department of Cardiology, Gaziantep Abdulkadir Yuksel State Hospital, Gaziantep, Turkey. FAU - Baslilar, Seyma AU - Baslilar S AD - Department of Pulmonology, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. FAU - Aydin, Mehtap AU - Aydin M AD - Department of Infectious Diseases and Clinical Microbiology, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. FAU - Ozer, Merve Caglar AU - Ozer MC AD - Department of Infectious Diseases and Clinical Microbiology, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. FAU - Ileri, Cigdem AU - Ileri C AD - Department of Cardiology, Umraniye Training and Research Hospital, University of Health Sciences, Elmalikent, Adem Yavuz Cd., Umraniye, 34764, Istanbul, Turkey. FAU - Keskin, Muhammed AU - Keskin M AD - Department of Cardiology, Istanbul Sultan Abdulhamid Han Education and Research Hospital, University of Health Sciences, Istanbul, Turkey. FAU - Bayam, Emrah AU - Bayam E AD - Department of Cardiology, Kartal Kosuyolu Heart Training and Research Hopital, Istanbul, Turkey. FAU - Uyan, Cihangir AU - Uyan C AD - Department of Cardiology, Umraniye Training and Research Hospital, University of Health Sciences, Elmalikent, Adem Yavuz Cd., Umraniye, 34764, Istanbul, Turkey. LA - eng PT - Journal Article PT - Observational Study DEP - 20210208 PL - United States TA - Int J Cardiovasc Imaging JT - The international journal of cardiovascular imaging JID - 100969716 SB - IM MH - COVID-19/epidemiology/*physiopathology MH - Case-Control Studies MH - *Echocardiography MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pandemics MH - Pneumonia, Viral/epidemiology/*physiopathology/virology MH - Prospective Studies MH - SARS-CoV-2 MH - Severity of Illness Index MH - Turkey/epidemiology MH - Ventricular Dysfunction, Right/*diagnostic imaging/epidemiology/*physiopathology PMC - PMC7868518 OTO - NOTNLM OT - COVID-19 OT - Comorbidity OT - Echocardiography OT - Right ventricular function OT - Speckle tracking echocardiography COIS- There are no conflicts of interest. EDAT- 2021/02/09 06:00 MHDA- 2021/07/09 06:00 PMCR- 2021/02/08 CRDT- 2021/02/08 12:14 PHST- 2020/11/09 00:00 [received] PHST- 2021/01/22 00:00 [accepted] PHST- 2021/02/09 06:00 [pubmed] PHST- 2021/07/09 06:00 [medline] PHST- 2021/02/08 12:14 [entrez] PHST- 2021/02/08 00:00 [pmc-release] AID - 10.1007/s10554-021-02171-w [pii] AID - 2171 [pii] AID - 10.1007/s10554-021-02171-w [doi] PST - ppublish SO - Int J Cardiovasc Imaging. 2021 Jun;37(6):1883-1890. doi: 10.1007/s10554-021-02171-w. Epub 2021 Feb 8.