Prominent Longitudinal Strain Reduction of Basal Left Ventricular Segments in Patients With Coronavirus Disease-19

Erin Goerlich, Nisha A. Gilotra, Anum S. Minhas, Nicole Bavaro, Allison G. Hays, Oscar H. Cingolani

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Coronavirus disease-19 (COVID-19) has been associated with overt and subclinical myocardial dysfunction. We observed a recurring pattern of reduced basal left ventricular (LV) longitudinal strain on speckle-tracking echocardiography in hospitalized patients with COVID-19 and subsequently aimed to identify characteristics of affected patients. We hypothesized that patients with COVID-19 with reduced basal LV strain would demonstrate elevated cardiac biomarkers. Methods and Result: Eighty-one consecutive patients with COVID-19 underwent speckle-tracking echocardiography. Those with poor quality speckle-tracking echocardiography (n = 2) or a known LV ejection fraction of <50% (n = 4) were excluded. Patients with an absolute value basal longitudinal strain of <13.9% (2 standard deviations below normal) were designated as cases (n = 39); those with a basal longitudinal strain of ≥13.9% were designated as controls (n = 36). Demographics and clinical variables were compared. Of 75 included patients (mean age 62 ± 14 years, 41% women), 52% had reduced basal strain. Cases had higher body mass index (median 34.1; interquartile range 26.5–37.9 kg/m2 vs median 26.9, interquartile range, 24.8–30.0 kg/m2, P =.009), and greater proportions of Black (74% vs 36%, P =.0009), hypertensive (79% vs 56%, P =.026), and diabetic patients (44% vs 19%, P =.025) compared with controls. Troponin and N-terminal pro-brain natriuretic peptide levels trended higher in cases, but were not significantly different. Conclusions: Reduced basal LV strain is common in patients with COVID-19. Patients with hypertension, diabetes, obesity, and Black race were more likely to have reduced basal strain. Further investigation into the significance of this strain pattern is warranted.

Original languageEnglish (US)
Pages (from-to)100-104
Number of pages5
JournalJournal of cardiac failure
Volume27
Issue number1
DOIs
StatePublished - Jan 2021

Keywords

  • COVID-19, strain
  • Echocardiography
  • myocardial dysfunction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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