PMID- 34251551 OWN - NLM STAT- MEDLINE DCOM- 20211123 LR - 20211123 IS - 1875-8312 (Electronic) IS - 1569-5794 (Print) IS - 1569-5794 (Linking) VI - 37 IP - 12 DP - 2021 Dec TI - Long term effects of mild severity COVID‑19 on right ventricular functions. PG - 3451-3457 LID - 10.1007/s10554-021-02340-x [doi] AB - Coronavirus disease 2019 (COVID-19) is a newly recognized infectious disease that has spread rapidly. COVID-19 has been associated with a number of cardiovascular involvements, including ventricular functions. The aim of our study was to evaluate the right ventricular functions of mild severity COVID-19 patients 3 months after, and compare them to the right ventricular functions of healthy volunteers. For this single-center study, data from 105 patients who were treated for mild severity COVID-19 between September 15, 2020 and December 31, 2020 were collected. 105 age and sex matched healthy subjects were included in the study. Right ventricular (RV) functions were evaluated using conventional two-dimensional (2D) echocardiography and 2D speckle-tracking echocardiography (STE) for all patients. 2D-E parameters indicating RV functions were compared between the two groups. RV diamaters, systolic pulmonary artery pressure (sPAP) and RV myocardial performance index (RV MPI) were significantly higher in the COVID-19 patients compared to control group (p < 0.05). Tricuspid annular plane systolic motion (TAPSE), right ventricular fractional area change (RVFAC) and RV S' were significantly lower in the COVID-19 group compared to control group (p < 0.05). RV global longitudinal strain (RV-GLS) (- 19.6 +/- 5.2 vs. - 15.1 +/- 3.4, p < 0.001) and RV free wall longitudinal strain RV-FWLS (- 19.6 +/- 5.2 vs. - 17.2 +/- 4.4, p < 0.001) values were significantly lower in the COVID-19 group than the control group. There was a significant negative correlation between RV-FWLS, RV-GLS and C-reactive protein (CRP), neutrophil to lymphocyte ratio (NLR), d-dimer, ferritin, platelet to lymphocyte ratio (PLR) in patients with mild severity COVID-19. This results suggested that RV-GLS and RV-FWLS decreased in the long term (third month) follow-up of patients treated for mild severity COVID-19 disease. Subclinical RV dysfunction may be observed in patients after mild severity COVID-19. CI - (c) 2021. The Author(s), under exclusive licence to Springer Nature B.V. FAU - Akkaya, Fatih AU - Akkaya F AUID- ORCID: 0000-0002-9016-4986 AD - Department of Cardiology, Ordu University, Ordu, Turkey. FAU - Yenercag, Feyza Nur Topcu AU - Yenercag FNT AUID- ORCID: 0000-0003-1355-9607 AD - Provincial Health Directorate, Ordu, Turkey. FAU - Kaya, Ahmet AU - Kaya A AUID- ORCID: 0000-0001-9845-7938 AD - Department of Cardiology, Ordu University, Ordu, Turkey. FAU - Sener, Yusuf Ziya AU - Sener YZ AUID- ORCID: 0000-0001-5151-5133 AD - Department of Cardiology, Beypazari State Hospital, Ankara, Turkey. yzsener@yahoo.com.tr. FAU - Bagci, Ali AU - Bagci A AUID- ORCID: 0000-0002-8792-6329 AD - Department of Cardiology, Suleyman Demirel University, Isparta, Turkey. LA - eng PT - Journal Article DEP - 20210712 PL - United States TA - Int J Cardiovasc Imaging JT - The international journal of cardiovascular imaging JID - 100969716 SB - IM MH - *COVID-19 MH - Humans MH - Predictive Value of Tests MH - SARS-CoV-2 MH - *Ventricular Dysfunction, Right/diagnostic imaging/etiology MH - Ventricular Function, Right PMC - PMC8274467 OTO - NOTNLM OT - Coronavirus disease 2019 OT - Right ventricular function OT - Speckle tracking echocardiography COIS- The authors declare that they have no conflict of interest. EDAT- 2021/07/13 06:00 MHDA- 2021/11/24 06:00 PMCR- 2021/07/12 CRDT- 2021/07/12 13:07 PHST- 2021/06/05 00:00 [received] PHST- 2021/07/02 00:00 [accepted] PHST- 2021/07/13 06:00 [pubmed] PHST- 2021/11/24 06:00 [medline] PHST- 2021/07/12 13:07 [entrez] PHST- 2021/07/12 00:00 [pmc-release] AID - 10.1007/s10554-021-02340-x [pii] AID - 2340 [pii] AID - 10.1007/s10554-021-02340-x [doi] PST - ppublish SO - Int J Cardiovasc Imaging. 2021 Dec;37(12):3451-3457. doi: 10.1007/s10554-021-02340-x. Epub 2021 Jul 12.