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  1. Article: Biventricular Longitudinal Strain Predict Mortality in COVID-19 Patients.

    Xie, Yuji / Wang, Lufang / Li, Meng / Li, He / Zhu, Shuangshuang / Wang, Bin / He, Lin / Zhang, Danqing / Zhang, Yongxing / Yuan, Hongliang / Wu, Chun / Sun, Wei / Zhang, Yanting / Cui, Li / Cai, Yu / Wang, Jing / Yang, Yali / Lv, Qing / Xie, Mingxing /
    Li, Yuman / Zhang, Li

    Frontiers in cardiovascular medicine

    2021  Volume 7, Page(s) 632434

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-01-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2020.632434
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evaluation of biventricular function in patients with COVID-19 using speckle tracking echocardiography.

    Baycan, Omer Faruk / Barman, Hasan Ali / Atici, Adem / Tatlisu, Adem / Bolen, Furkan / Ergen, Pınar / Icten, Sacit / Gungor, Baris / Caliskan, Mustafa

    The international journal of cardiovascular imaging

    2020  Volume 37, Issue 1, Page(s) 135–144

    Abstract: ... in-hospital mortality. A total of 100 patients hospitalized for COVID-19 were included in this study. The mean age ... from patients treated for COVID-19 between April 15 and April 30, 2020. Two-dimensional echocardiography (2-DE ... in patients with COVID-19. ...

    Abstract A new infectious outbreak sustained by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is now spreading all around the world. The aim of this study was to evaluate the prognostic value of left ventricular global longitudinal strain (LV-GLS) and right ventricular longitudinal strain (RV-LS) in patients with coronavirus disease 2019 (COVID-19). In this prospective, single-center study, data were gathered from patients treated for COVID-19 between April 15 and April 30, 2020. Two-dimensional echocardiography (2-DE) and speckle tracking echocardiography (STE) images were obtained for all patients. Patients were divided into three groups: those with severe COVID-19 infection, those with non-severe COVID-19 infection, and those without COVID-19 infection (the control group). Data regarding clinical characteristics and laboratory findings were obtained from electronic medical records. The primary endpoint was in-hospital mortality. A total of 100 patients hospitalized for COVID-19 were included in this study. The mean age of the severe group (n = 44) was 59.1 ± 12.9, 40% of whom were male. The mean age of the non-severe group (n = 56) was 53.7 ± 15.1, 58% of whom were male. Of these patients, 22 died in the hospital. In patients in the severe group, LV-GLS and RV-LS were decreased compared to patients in the non-severe and control groups (LV-GLS: - 14.5 ± 1.8 vs. - 16.7 ± 1.3 vs. - 19.4 ± 1.6, respectively [p < 0.001]; RV-LS: - 17.2 ± 2.3 vs. - 20.5 ± 3.2 vs. - 27.3 ± 3.1, respectively [p < 0.001]). The presence of cardiac injury, D-dimer, arterial oxygen saturation (SaO2), LV-GLS (OR 1.63, 95% confidence interval [CI] 1.08-2.47; p = 0.010) and RV-LS (OR 1.55, 95% CI 1.07-2.25; p = 0.019) were identified as independent predictors of mortality via multivariate analysis. LV-GLS and RV-LS are independent predictors of in-hospital mortality in patients with COVID-19.
    MeSH term(s) COVID-19/complications ; COVID-19/physiopathology ; Echocardiography/methods ; Female ; Heart Ventricles/diagnostic imaging ; Heart Ventricles/physiopathology ; Humans ; Male ; Middle Aged ; Prospective Studies ; SARS-CoV-2 ; Ventricular Dysfunction, Left/complications ; Ventricular Dysfunction, Left/diagnostic imaging ; Ventricular Dysfunction, Left/physiopathology ; Ventricular Dysfunction, Right/complications ; Ventricular Dysfunction, Right/diagnostic imaging ; Ventricular Dysfunction, Right/physiopathology
    Keywords covid19
    Language English
    Publishing date 2020-08-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2055311-0
    ISSN 1875-8312 ; 1573-0743 ; 1569-5794 ; 0167-9899
    ISSN (online) 1875-8312 ; 1573-0743
    ISSN 1569-5794 ; 0167-9899
    DOI 10.1007/s10554-020-01968-5
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  3. Article ; Online: Incremental prognostic value of biventricular longitudinal strain and high-sensitivity troponin I in COVID-19 patients.

    Sun, Wei / Zhang, Yanting / Wu, Chun / Xie, Yuji / Peng, Li / Nie, Xiu / Yu, Cheng / Zheng, Yi / Li, Yuman / Wang, Jing / Yang, Yali / Lv, Qing / Zhang, Li / Taub, Cynthia C / Xie, Mingxing

    Echocardiography (Mount Kisco, N.Y.)

    2021  Volume 38, Issue 8, Page(s) 1272–1281

    Abstract: ... longitudinal strain with hs-TNI can provide higher accuracy for predicting mortality in COVID-19 patients ... has an incremental prognostic value in coronavirus disease 2019 (COVID-19) patients has not been ... its combination with hs-TNI in COVID-19 patients.: Methods: A total of 160 COVID-19 patients who underwent ...

    Abstract Background: Whether the combination of ventricular strain with high-sensitivity troponin I (hs-TNI) has an incremental prognostic value in coronavirus disease 2019 (COVID-19) patients has not been evaluated. The study aimed to evaluate the prognostic value of biventricular longitudinal strain and its combination with hs-TNI in COVID-19 patients.
    Methods: A total of 160 COVID-19 patients who underwent both echocardiography and hs-TNI testing were enrolled in our study. COVID-19 patients were divided into two groups (critical and non-critical) according to severity-of-illness. The clinical characteristics, cardiac structure and function were compared between the two groups. The prognostic value of biventricular longitudinal strain and its combination with hs-TNI were evaluated by logistic regression analyses and receiver operating characteristic curves. Left ventricular longitudinal strain (LV LS) and right ventricular free wall longitudinal strain (RVFWLS) were determined by 2D speckle-tracking echocardiography.
    Results: The LV LS and RVFWLS both were significantly lower in critical patients than non-critical patients (LV LS: -16.6±2.4 vs -17.9±3.0, P = .003; RVFWLS :-18.8±3.6 vs -23.9±4.4, P<.001). During a median follow-up of 60 days, 23 (14.4%) patients died. The multivariant analysis revealed that LV LS and RVFWLS [Odd ratio (95% confidence interval): 1.533 (1.131-2.079), P = .006; 1.267 (1.036-1.551), P = .021, respectively] were the independent predictors of higher mortality. Further, receiver-operating characteristic analysis revealed that the accuracy for predicting death was greater for the combination of hs-TNI levels with LV LS than separate LV LS (AUC: .91 vs .77, P = .001), and the combination of hs-TNI levels with RVFWLS than RVFWLS alone (AUC: .89 vs .83, P = .041).
    Conclusions: Our study highlights that the combination of ventricular longitudinal strain with hs-TNI can provide higher accuracy for predicting mortality in COVID-19 patients, which may enhance risk stratification in COVID-19 patients.
    MeSH term(s) COVID-19 ; Echocardiography ; Humans ; Prognosis ; SARS-CoV-2 ; Troponin I
    Chemical Substances Troponin I
    Language English
    Publishing date 2021-06-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 843645-9
    ISSN 1540-8175 ; 0742-2822
    ISSN (online) 1540-8175
    ISSN 0742-2822
    DOI 10.1111/echo.15133
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  4. Article ; Online: Prognostic implications of biventricular strain measurement in COVID-19 patients by speckle-tracking echocardiography.

    Khani, Mohammad / Tavana, Sasan / Tabary, Mohammadreza / Naseri Kivi, Zahra / Khaheshi, Isa

    Clinical cardiology

    2021  Volume 44, Issue 10, Page(s) 1475–1481

    Abstract: ... prognostic factors to predict mortality, ICU admission, and intubation in hospitalized COVID-19 patients ... patients. RVGLS tertiles revealed significant odds ratios for the prediction of mortality (OR = 0.322, 95 ... RVGLS, LVGLS) and COVID-19 patients' outcomes.: Methods: Hospitalized COVID-19 patients between June ...

    Abstract Background: Recent reports have indicated the beneficial role of strain measurement in COVID-19 patients.
    Hypothesis: To determine the association between right and left global longitudinal strain (RVGLS, LVGLS) and COVID-19 patients' outcomes.
    Methods: Hospitalized COVID-19 patients between June and August 2020 were included. Two-dimensional echocardiography and biventricular global longitudinal strain measurement were performed. The outcome measure was defined as mortality, ICU admission, and need for intubation. Appropriate statistical tests were used to compare different groups.
    Results: In this study 207 patients (88 females) were enrolled. During 64 ± 4 days of follow-up, 22 (10.6%) patients died. Mortality, ICU admission, and intubation were significantly associated with LVGLS and RVGLS tertiles. LVGLS tertiles could predict poor outcome with significant odds ratios in the total population (OR = 0.203, 95% CI: 0.088-0.465; OR = 0.350, 95% CI: 0.210-0.585; OR = 0.354, 95% CI: 0.170-0.736 for mortality, ICU admission, and intubation). Although odds ratios of LVGLS for the prediction of outcome were statistically significant among hypertensive patients, these odds ratios did not reach significance among non-hypertensive patients. RVGLS tertiles revealed significant odds ratios for the prediction of mortality (OR = 0.322, 95% CI: 0.162-0.640), ICU admission (OR = 0.287, 95% CI: 0.166-0.495), and need for intubation (OR = 0.360, 95% CI: 0.174-0.744). Odds ratios of RVGLS remained significant even after adjusting for hypertension when considering mortality and ICU admission.
    Conclusion: RVGLS and LVGLS can be acceptable prognostic factors to predict mortality, ICU admission, and intubation in hospitalized COVID-19 patients. However, RVGLS seems more reliable, as it is not confounded by hypertension.
    MeSH term(s) COVID-19 ; Echocardiography ; Female ; Hospitalization ; Humans ; Prognosis ; SARS-CoV-2
    Language English
    Publishing date 2021-08-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 391935-3
    ISSN 1932-8737 ; 0160-9289
    ISSN (online) 1932-8737
    ISSN 0160-9289
    DOI 10.1002/clc.23708
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  5. Article: Evaluation of biventricular function in patients with COVID-19 using speckle tracking echocardiography

    Baycan, Omer Faruk / Barman, Hasan Ali / Atici, Adem / Tatlisu, Adem / Bolen, Furkan / Ergen, Pinar / Icten, Sacit / Gungor, Baris / Caliskan, Mustafa

    Int. j. cardiovasc. imaging

    Abstract: ... in-hospital mortality. A total of 100 patients hospitalized for COVID-19 were included in this study. The mean age ... from patients treated for COVID-19 between April 15 and April 30, 2020. Two-dimensional echocardiography (2-DE ... in patients with COVID-19. ...

    Abstract A new infectious outbreak sustained by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is now spreading all around the world. The aim of this study was to evaluate the prognostic value of left ventricular global longitudinal strain (LV-GLS) and right ventricular longitudinal strain (RV-LS) in patients with coronavirus disease 2019 (COVID-19). In this prospective, single-center study, data were gathered from patients treated for COVID-19 between April 15 and April 30, 2020. Two-dimensional echocardiography (2-DE) and speckle tracking echocardiography (STE) images were obtained for all patients. Patients were divided into three groups: those with severe COVID-19 infection, those with non-severe COVID-19 infection, and those without COVID-19 infection (the control group). Data regarding clinical characteristics and laboratory findings were obtained from electronic medical records. The primary endpoint was in-hospital mortality. A total of 100 patients hospitalized for COVID-19 were included in this study. The mean age of the severe group (n = 44) was 59.1 ± 12.9, 40% of whom were male. The mean age of the non-severe group (n = 56) was 53.7 ± 15.1, 58% of whom were male. Of these patients, 22 died in the hospital. In patients in the severe group, LV-GLS and RV-LS were decreased compared to patients in the non-severe and control groups (LV-GLS: - 14.5 ± 1.8 vs. - 16.7 ± 1.3 vs. - 19.4 ± 1.6, respectively [p < 0.001]; RV-LS: - 17.2 ± 2.3 vs. - 20.5 ± 3.2 vs. - 27.3 ± 3.1, respectively [p < 0.001]). The presence of cardiac injury, D-dimer, arterial oxygen saturation (SaO2), LV-GLS (OR 1.63, 95% confidence interval [CI] 1.08-2.47; p = 0.010) and RV-LS (OR 1.55, 95% CI 1.07-2.25; p = 0.019) were identified as independent predictors of mortality via multivariate analysis. LV-GLS and RV-LS are independent predictors of in-hospital mortality in patients with COVID-19.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #716323
    Database COVID19

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