Cardiovascular risk factors predict who should have echocardiographic evaluation in long COVID

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Main Authors: Leonardo Tamariz, Mathew Ryan, George R. Marzouka, Elizabeth Bast, Nancy Klimas, Ana Palacio
Format: Artículo Open Access
Published: Wiley 2024
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author Leonardo Tamariz
Mathew Ryan
George R. Marzouka
Elizabeth Bast
Nancy Klimas
Ana Palacio
author_facet Leonardo Tamariz
Mathew Ryan
George R. Marzouka
Elizabeth Bast
Nancy Klimas
Ana Palacio
Leonardo Tamariz
Mathew Ryan
George R. Marzouka
Elizabeth Bast
Nancy Klimas
Ana Palacio
collection Wiley Open Access
contents Cardiovascular risk factors predict who should have echocardiographic evaluation in long COVID Leonardo Tamariz Mathew Ryan George R. Marzouka Elizabeth Bast Nancy Klimas Ana Palacio Echocardiography AbstractBackgroundThe need for echocardiograms among patients with long COVID is debatable. Our aim was to evaluate the prevalence of left ventricular (LV) dysfunction and identify predictors.MethodsWe conducted a cross‐sectional study and included all consecutive patients enrolled in our post‐COVID clinic. We included patients who had an echocardiogram and had no previous known heart disease. We defined LV dysfunction as a low ejection fraction or grade II to grade III diastolic dysfunction on an echocardiogram with evidence of elevated filling pressures. We calculated the prevalence of heart disease and predictors of heart disease using logistic regression.ResultsWe included 217 post‐COVID patients enrolled in the clinic. The prevalence of LV dysfunction is 24%; 95% CI 18–30. Predictors of heart disease include older age and a previous history of hypertension and diabetes or having an intermediate or high ASCVD score. Patients with low ASCVD score did not have low ejection fraction on the screening echocardiograms.ConclusionOur study found a considerable number of patients with LV dysfunction. Older patients with cardiovascular risk factors are at risk of long COVID associated heart disease. 10.1111/echo.15745 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1111/echo.15745
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institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
publishDate 2024
publisher Wiley
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spellingShingle Cardiovascular risk factors predict who should have echocardiographic evaluation in long COVID
Leonardo Tamariz
Mathew Ryan
George R. Marzouka
Elizabeth Bast
Nancy Klimas
Ana Palacio
Echocardiography
Cardiovascular risk factors predict who should have echocardiographic evaluation in long COVID Leonardo Tamariz Mathew Ryan George R. Marzouka Elizabeth Bast Nancy Klimas Ana Palacio Echocardiography AbstractBackgroundThe need for echocardiograms among patients with long COVID is debatable. Our aim was to evaluate the prevalence of left ventricular (LV) dysfunction and identify predictors.MethodsWe conducted a cross‐sectional study and included all consecutive patients enrolled in our post‐COVID clinic. We included patients who had an echocardiogram and had no previous known heart disease. We defined LV dysfunction as a low ejection fraction or grade II to grade III diastolic dysfunction on an echocardiogram with evidence of elevated filling pressures. We calculated the prevalence of heart disease and predictors of heart disease using logistic regression.ResultsWe included 217 post‐COVID patients enrolled in the clinic. The prevalence of LV dysfunction is 24%; 95% CI 18–30. Predictors of heart disease include older age and a previous history of hypertension and diabetes or having an intermediate or high ASCVD score. Patients with low ASCVD score did not have low ejection fraction on the screening echocardiograms.ConclusionOur study found a considerable number of patients with LV dysfunction. Older patients with cardiovascular risk factors are at risk of long COVID associated heart disease. 10.1111/echo.15745 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Cardiovascular risk factors predict who should have echocardiographic evaluation in long COVID
topic Echocardiography
url https://onlinelibrary.wiley.com/doi/10.1111/echo.15745