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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
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L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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Abstract
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CLEAR FILTERS
An echocardiographic insight on post-COVID-19 symptoms.
Session:
Posters (Sessão 6 - Écran 5) - Imagem 4 - Ecocardiografia 2
Speaker:
Rui Files Flores
Congress:
CPC 2022
Topic:
B. Imaging
Theme:
03. Imaging
Subtheme:
03.1 Echocardiography
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Rui Files Flores; Olga Pires; Joana Alves; Nuno Salomé; Fernando Mané; Paulo Medeiros; Carla Pires; Rodrigo Silva; Vítor Hugo Pereira
Abstract
<p><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:11.0pt">INTRODUCTION: Since the first cases described in China in late 2019, Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection became worldwide spread in just a few months, instigating fear and anxiety, menacing international borders, and raising awareness on health implications, such as cardiovascular disease. Studies using magnetic ressonance imaging show the presence of myocardial edema and right ventricular dysfunction during and shortly after a SARS-CoV-2 infection. Whether this cardiac involvement could have any long-term implications is yet unknown. Our main objective is to describe the echocardiographic findings of patients with previous SARS-CoV-2 infection.</span></span></span></p> <p><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:11.0pt">METHODS: A single-center prospective study was conducted. Patients who tested positive for SARS-CoV-2 were selected and submitted to a transthoracic echocardiogram 6 months after infection. A complete echocardiographic assessment, including tissue doppler, E/E' ratio and ventricular longitudinal strain, was performed. Data was sorted by admission in intensive care units.</span></span></span></p> <p><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:11.0pt">RESULTS: A total of 88 patients were enrolled. Mean values and respective standard deviation were as follows: left ventricular ejection fraction 60.8 ± 5.9%; left ventricular longitudinal strain - 17.9 ± 3.6%; tricuspid annular plane systolic excursion 22.1 ± 3.6 mm; longitudinal strain of the free wall of the right ventricle – 19.0 ± 6.0%. We found no statistically significant differences between the subgroup of patients admitted to the intensive care unit and the remainder in relation to any of the echocardiographic parameters that were evaluated.</span></span></span></p> <p><span style="font-size:12pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:11.0pt">DISCUSSION: Six months after a SARS-COV-2 infection, echocardiographic findings showed globally preserved left and right ventricular systolic function. Despite being associated with worse acute prognosis, long-term implications of myocardial involvement are still unclear. According to our data, this acute myocardial injury does not appear to be related to long-term impaired ventricular function; for instance, long-term symptoms may be related to pulmonary, less likely cardiac, involvement. Overall, further studies are needed to clarify the cause of these patients' symptoms and to access the impact on long-term events.</span></span></span></p>
Slides
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