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International Journal of Cardiology Sciences

Vol. 6, Issue 2, Part A (2024)

Cardiovascular complications of COVID-19 with severe and critical illness diagnosed by comprehensive echocardiography

Author(s):

Dr. Mushtaq Talib Yassin, Dr. Amer Shanoon Kareem and Dr. Sa`ad Hashim Mohammed

Abstract:

Background: Cardiac injury is common in COVID-19 patients and is associated with increased mortality. many patients in the hospital suffering from unexplained deterioration of their conditions, one of the common cause of the deterioration is cardiovascular complications like IHD, pulmonary embolism, myocarditis, pericardial effusion, cardiac arrhythmias, valvular dysfunction, pulmonary hypertension and worsening of pre-existent heart disease.
Aim of study: To evaluate the cardiovascular complications of COVID 19 with severe and critical symptoms diagnosed by comprehensive transthoracic echocardiography. 
Patient and Method: This cross sectional cohort study analyzed COVID-19 patients who had an echocardiogram during hospitalization between May 2021 to August 2021. 
Result: The mean age 66+/- 12, and most of patients age more than 60 years old, and 61% is male and 39% is female, 82% of patients was hypertensive and 30% is DM, other co-morbidity is seen with lesser extent, 68% of patients with O2 saturation between 80-89%, and most of them (61%) on CPAP, the echocardiographic study shows 85% of patients with mild increase LVWT, and 65% of patient have no WMA, most of patients has normal chamber dimension except dilatation in RV in 22% of patients with significant P-value, and 79% of patients with normal LVEF and there is 12% with mild impaired LVEF with significant P-value, and 80% of patients with grade I diastolic dysfunction, also there is 70% of patients with mild MR, and 23% of patients with mild AR with significant P-value, there is also 68% of patients with normal PASP, and 23% with mild pulmonary hypertension, other echocardiographic features was looked for, and it shows about 38% of patients with small pericardial effusion, 11% of patients with pulmonary embolism, and 15% of patients with myocarditis, and 39% of patients with sinus tachycardia. 
Conclusion: From study, Echocardiography is necessary for COVID patients, and usually shows some abnormality such as increase LVWT, WMA, dilatation of RV and pulmonary artery hypertension, pericardial effusion, myocarditis, arrhythmia and pulmonary embolism also significant cardiac complication of COVID 19.
 

Pages: 07-13  |  20 Views  6 Downloads


International Journal of Cardiology Sciences
How to cite this article:
Dr. Mushtaq Talib Yassin, Dr. Amer Shanoon Kareem and Dr. Sa`ad Hashim Mohammed. Cardiovascular complications of COVID-19 with severe and critical illness diagnosed by comprehensive echocardiography. Int. J. Cardiol. Sci. 2024;6(2):07-13. DOI: 10.33545/26649020.2024.v6.i2a.57