Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Decrease in longitudinal deformation of the basal segments of the left ventricle in pregnant women with low-symptom COVID-19

Authors: Doroshenko D.A.1 1, Rumyantsev Yu.I.1, Zubareva E.A.3, Vechorko V.I.1, Sandrikov V.A.2

Company:
1 City Clinical Hospital No. 15 named after O.M. Filatov, Moscow, Russian Federation
2 Russian Scientific Center of Surgery named after Academician B.V. Petrovsky, Moscow, Russian Federation
3 Pirogov Russian National Research Medical University, Moscow, Russian Federation

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DOI: https://doi.org/10.24022/1814-6910-2023-20-4-337-343

UDC: [616.124.2:618.3]+578.834.11

Link: Clinical Physiology of Blood Circulaiton. 2023; 4 (20): 337-343

Quote as: Doroshenko D.A., Rumyantsev Yu.I., Zubareva E.A., Vechorko V.I., Sandrikov V.A. Decrease in longitudinal deformation of the basal segments of the left ventricle in pregnant women with low-symptom COVID-19. Clinical Physiology of Circulation. 2023; 20 (4): 337–43 (in Russ.). DOI: 10.24022/1814-6910-2023-20-4-337-343

Received / Accepted:  23.10.2023 / 03.12.2023

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Abstract

Objective. Assessment of the decrease in basal longitudinal deformation using 2-dimensional speckle-tracking echocardiography (STE) at the hospital and post hospital stages in pregnant women with confirmed coronavirus infection, with a predominance of the Omicron strain, hospitalized at the City Clinical Hospital No. 15 named after O.M. Filatov.

Material and methods. The results of STE were analyzed in 70 pregnant women in the II–III trimester with confirmed coronavirus infection at the hospital stage of treatment and 47 patients 6 months after hospitalization. All patients underwent transthoracic echocardiography (TTE) combined with STE on Vivid E95 and Vivid iq ultrasound scanners (GE, USA).

Results. The use of STE at the hospital stage in pregnant women with COVID-19 in the II–III trimester revealed a decrease in the longitudinal deformation of the basal segments of the left ventricle (LSLVbasal) in about 30% of cases. The number of observations in the dynamic control group (>6 months from the moment of delivery) in patients without previously detected changes in LSLVbasal was 32 and 15 cases in patients with previously established reduced LSLVbasal.

Conclusion. The decrease in LSLVbasal was not accompanied by a decrease in global longitudinal deformation of the left ventricle in patients, but, in our opinion, it became one of the markers of myocardial dysfunction requiring further more detailed study.

About Authors

  • Dmitriy A. Doroshenko, Cand. Med. Sci., Head of Department of Radiation and Functional Studies; ORCID
  • Yuriy I. Rumyantsev, Radiologist; ORCID
  • Elena A. Zubareva, Dr. Med. Sci., Chief of Chair of Radiation Diagnostics; ORCID
  • Valeriy I. Vechorko, Dr. Med. Sci., Chief Physician; ORCID
  • Valeriy A. Sandrikov, Dr. Med. Sci., Professor, Academician of RAS, Head of Department of Clinical Physiology, Instrumental and Radiation Diagnostics; ORCID

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