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Acta médica Grupo Ángeles

Print version ISSN 1870-7203

Abstract

SANCHEZ LEZAMA, Francisco; SALAZAR HORNER, Diana Laura; GARCIA LUNA, Alfonso  and  DOMINGUEZ CARRILLO, Luis Gerardo. Left ventricle global longitudinal strain, troponins and other echocardiographic variables as predictors of subclinical myocardial injury in hospitalized patients with COVID-19. Acta méd. Grupo Ángeles [online]. 2024, vol.22, n.2, pp.110-115.  Epub Feb 10, 2025. ISSN 1870-7203.  https://doi.org/10.35366/115283.

Introduction:

subclinical myocardial injury by COVID-19 is frequent. hs-cTnI, global longitudinal strain (GLS), and other echocardiographic variables (EV) are helpful for early detection.

Objective:

to correlate UT, GLS, and EV with adverse prognosis in hospitalized patients with COVID-19.

Material and methods:

36 hospitalized patients with an average age of 57.47 years were studied. Usual echocardiographic measurements of SLG and hs-cTnI were performed. The sample was divided into critical and non-critical patients. Statistical analysis: the comparison was made with the Student’s t-test and Fisher’s exact test.

Results:

GLS values and LA dilation were not statistically significant on prognosis; the increase in pulmonary pressure showed significance with p = 0.03; hs-cTnI increase p = 0.05; e’ with p = 0.03 and E/e ratio with p = 0.005.

Conclusions:

prolonged hospital stance and mortality are increased in patients with COVID-19 who present increased pulmonary pressure and elevation of troponins, as well as with markers of left ventricle diastolic dysfunction e’ and E/e’. GLS did not show statistical significance.

Keywords : global longitudinal strain; SARS-CoV-2 myocarditis; prognosis.

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