The Correlation between Cardiac Magnetic Resonance Findings and Post-COVID-19: The Impact of Myocardial Injury on Quality of Life

被引:0
作者
Popovic, Maja [1 ]
Cvetic, Vladimir [2 ,3 ]
Popadic, Viseslav [4 ]
Ilic, Kristina [1 ]
Radojevic, Aleksandra [4 ]
Klasnja, Andrea [4 ]
Milic, Natasa [3 ,5 ,6 ]
Rajovic, Nina [3 ,5 ]
Lasica, Ratko [3 ,7 ]
Gostiljac, Drasko [3 ,8 ]
Klasnja, Slobodan [4 ]
Mahmutovic, Edvin [9 ]
Zdravkovic, Marija [3 ,4 ]
机构
[1] Univ Hosp Med Ctr Bezanijska kosa, Dept Radiol, Belgrade 11000, Serbia
[2] Univ Clin Ctr Serbia, Dept Cardiovasc Radiol, Belgrade 11000, Serbia
[3] Univ Belgrade, Fac Med, Belgrade 11000, Serbia
[4] Univ Hosp Med Ctr Bezanijska kosa, Dept Cardiol, Belgrade 11000, Serbia
[5] Univ Belgrade, Inst Med Stat & Informat, Fac Med, Belgrade 11000, Serbia
[6] Mayo Clin, Dept Internal Med, Div Nephrol & Hypertens, Rochester, MN 55905 USA
[7] Clin Ctr Serbia, Clin Cardiol, Belgrade 11000, Serbia
[8] Clin Ctr Serbia, Clin Endocrinol Diabet & Metab Dis, Belgrade 11000, Serbia
[9] Gen Hosp Novi Pazar, Pazar 36300, Serbia
关键词
COVID-19; cardiovascular symptoms; cardiac magnetic resonance; LATE GADOLINIUM ENHANCEMENT; COVID-19; HEART; MR;
D O I
10.3390/diagnostics14171937
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: In the post-COVID-19 era, there is growing concern regarding its impact on cardiovascular health and the following effects on the overall quality of life of affected individuals. This research seeks to investigate cardiac magnetic resonance (CMR) findings following COVID-19 and their impact on the quality of life of affected individuals. Methods: An observational, cross-sectional study was conducted in consecutive patients with persistent cardiovascular symptoms after COVID-19 who were referred to CMR due to suspected myocardial injury. In addition, patients completed a questionnaire about symptoms and the quality of life during the post-COVID-19 period. Results: In this study, 85 patients were included. The study population consisted of patients with a mean age of 42.5 +/- 13.4 years, predominantly women, who made up 69.4% of the study population, while men made up 30.6%. CMR findings showed non-ischemic myocardial injury in 78.8% of patients and myocardial edema in 14.1% of patients. Late pericardial enhancement was present in 40% of patients and pericardial effusion in 51.8% of patients. Pericardial effusion (p = 0.001) was more prevalent in patients who reported more pronounced symptoms in the post-COVID-19 period compared to the acute infection phase. Predictors of lower quality of life in the post-COVID-19 period were the presence of irregular heartbeat (p = 0.039), cardiovascular problems that last longer than 12 weeks (p = 0.018), and the presence of pericardial effusion (p = 0.037). Conclusion: Acute myocarditis was observed in a minority of patients after COVID-19, while non-ischemic LGE pattern and pericardial effusion were observed in the majority. Quality of life was worse during the post-COVID-19 period in patients with CMR abnormalities, primarily in patients with pericardial effusion. Also, irregular heartbeat, cardiovascular symptoms that last longer than 12 weeks, as well as pericardial effusion were independent predictors of lower quality of life during the post-COVID-19 period.
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页数:18
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