Biventricular strain by speckle tracking echocardiography in COVID-19: Findings and possible prognostic implications

Parasuram Krishnamoorthy; Lori B. Croft; Richard Ro; Malcolm Anastasius; Wenli Zhao; Gennaro Giustino; Edgar Argulian; Martin E. Goldman; Samin K. Sharma; Annapoorna Kini; Stamatios Lerakis

doi:10.2217/fca-2020-0100

Biventricular strain by speckle tracking echocardiography in COVID-19: Findings and possible prognostic implications

Parasuram Krishnamoorthy, Lori B. Croft, Richard Ro, Malcolm Anastasius, Wenli Zhao, Gennaro Giustino, Edgar Argulian, Martin E. Goldman, Samin K. Sharma, Annapoorna Kini, Stamatios Lerakis

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26 Scopus citations

Abstract

The COVID-19 infection adversely affects the cardiovascular system. Transthoracic echocardiography has demonstrated diagnostic, prognostic and therapeutic utility. We report biventricular myocardial strain in COVID-19. Methods: Biventricular strain measurements were performed for 12 patients. Patients who were discharged were compared with those who needed intubation and/or died. Results: Seven patients were discharged and five died or needed intubation. Right ventricular strain parameters were decreased in patients with poor outcomes compared with those discharged. Left ventricular strain was decreased in both groups but was not statistically significant. Conclusion: Right ventricular strain was decreased in patients with poor outcomes and left ventricular strain was decreased regardless of outcome. Right ventricular strain measurements may be important for risk stratification and prognosis. Further studies are needed to confirm these findings.

Original language	English
Pages (from-to)	663-667
Number of pages	5
Journal	Future Cardiology
Volume	17
Issue number	4
DOIs	https://doi.org/10.2217/fca-2020-0100
State	Published - Jul 2021

Keywords

COVID-19 infection
coronavirus
myocardial strain imaging
speckle tracking echocardiography
transthoracic echocardiography

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10.2217/fca-2020-0100

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title = "Biventricular strain by speckle tracking echocardiography in COVID-19: Findings and possible prognostic implications",

abstract = "The COVID-19 infection adversely affects the cardiovascular system. Transthoracic echocardiography has demonstrated diagnostic, prognostic and therapeutic utility. We report biventricular myocardial strain in COVID-19. Methods: Biventricular strain measurements were performed for 12 patients. Patients who were discharged were compared with those who needed intubation and/or died. Results: Seven patients were discharged and five died or needed intubation. Right ventricular strain parameters were decreased in patients with poor outcomes compared with those discharged. Left ventricular strain was decreased in both groups but was not statistically significant. Conclusion: Right ventricular strain was decreased in patients with poor outcomes and left ventricular strain was decreased regardless of outcome. Right ventricular strain measurements may be important for risk stratification and prognosis. Further studies are needed to confirm these findings.",

keywords = "COVID-19 infection, coronavirus, myocardial strain imaging, speckle tracking echocardiography, transthoracic echocardiography",

author = "Parasuram Krishnamoorthy and Croft, {Lori B.} and Richard Ro and Malcolm Anastasius and Wenli Zhao and Gennaro Giustino and Edgar Argulian and Goldman, {Martin E.} and Sharma, {Samin K.} and Annapoorna Kini and Stamatios Lerakis",

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T1 - Biventricular strain by speckle tracking echocardiography in COVID-19

T2 - Findings and possible prognostic implications

AU - Krishnamoorthy, Parasuram

AU - Croft, Lori B.

AU - Ro, Richard

AU - Anastasius, Malcolm

AU - Zhao, Wenli

AU - Giustino, Gennaro

AU - Argulian, Edgar

AU - Goldman, Martin E.

AU - Sharma, Samin K.

AU - Kini, Annapoorna

AU - Lerakis, Stamatios

PY - 2021/7

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AB - The COVID-19 infection adversely affects the cardiovascular system. Transthoracic echocardiography has demonstrated diagnostic, prognostic and therapeutic utility. We report biventricular myocardial strain in COVID-19. Methods: Biventricular strain measurements were performed for 12 patients. Patients who were discharged were compared with those who needed intubation and/or died. Results: Seven patients were discharged and five died or needed intubation. Right ventricular strain parameters were decreased in patients with poor outcomes compared with those discharged. Left ventricular strain was decreased in both groups but was not statistically significant. Conclusion: Right ventricular strain was decreased in patients with poor outcomes and left ventricular strain was decreased regardless of outcome. Right ventricular strain measurements may be important for risk stratification and prognosis. Further studies are needed to confirm these findings.

KW - COVID-19 infection

KW - coronavirus

KW - myocardial strain imaging

KW - speckle tracking echocardiography

KW - transthoracic echocardiography

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Biventricular strain by speckle tracking echocardiography in COVID-19: Findings and possible prognostic implications

Abstract

Keywords

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