Cardiopulmonary Long-Term Sequelae in Patients after Severe COVID-19 Disease.

Long-COVID SARS-CoV-2 fatigue heart long-term impairment lung myocarditis pandemic risk factors

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
15 Feb 2023
Historique:
received: 23 01 2023
revised: 10 02 2023
accepted: 13 02 2023
entrez: 25 2 2023
pubmed: 26 2 2023
medline: 26 2 2023
Statut: epublish

Résumé

We aimed to identify cardiopulmonary long-term effects after severe COVID-19 disease as well as predictors of Long-COVID in a prospective registry. A total of 150 consecutive, hospitalized patients (February 2020 and April 2021) were included six months post hospital discharge for a clinical follow-up. Among them, 49% experienced fatigue, 38% exertional dyspnea and 75% fulfilled criteria for Long-COVID. Echocardiography detected reduced global longitudinal strain (GLS) in 11% and diastolic dysfunction in 4%. Magnetic resonance imaging revealed traces of pericardial effusion in 18% and signs of former pericarditis or myocarditis in 4%. Pulmonary function was impaired in 11%. Chest computed tomography identified post-infectious residues in 22%. Whereas fatigue did not correlate with cardiopulmonary abnormalities, exertional dyspnea was associated with impaired pulmonary function (OR 3.6 [95% CI: 1.2-11],

Identifiants

pubmed: 36836071
pii: jcm12041536
doi: 10.3390/jcm12041536
pmc: PMC9959779
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Julia Hanne Niebauer (JH)

Department of Cardiology, Favoriten Clinic, 1100 Vienna, Austria.

Christina Binder-Rodriguez (C)

Department of Cardiology, Medical University of Vienna, 1090 Vienna, Austria.

Ahmet Iscel (A)

Department of Cardiology, Favoriten Clinic, 1100 Vienna, Austria.

Sarah Schedl (S)

Department of Cardiology, Favoriten Clinic, 1100 Vienna, Austria.

Christophe Capelle (C)

Department of Cardiology, Favoriten Clinic, 1100 Vienna, Austria.

Michael Kahr (M)

Department of Cardiology, Medical University of Vienna, 1090 Vienna, Austria.

Simona Cadjo (S)

Department of Cardiology, Medical University of Vienna, 1090 Vienna, Austria.

Simon Schamilow (S)

Department of Cardiology, Favoriten Clinic, 1100 Vienna, Austria.

Roza Badr-Eslam (R)

Department of Cardiology, Medical University of Vienna, 1090 Vienna, Austria.

Michael Lichtenauer (M)

Department of Internal Medicine II, Division of Cardiology, University Hospital Salzburg, 5020 Salzburg, Austria.

Aurel Toma (A)

Department of Cardiology, Favoriten Clinic, 1100 Vienna, Austria.

Alexander Zoufaly (A)

Department of Infectious Diseases, Favoriten Clinic, 1100 Vienna, Austria.
Faculty of Medicine, Sigmund Freud University, 1020 Vienna, Austria.

Rosmarie Valenta (R)

Department of Radiology, Favoriten Clinic, 1100 Vienna, Austria.

Sabine Hoffmann (S)

Department of Cardiology, Favoriten Clinic, 1100 Vienna, Austria.

Silvia Charwat-Resl (S)

Department of Cardiology, Favoriten Clinic, 1100 Vienna, Austria.

Christian Krestan (C)

Department of Radiology, Favoriten Clinic, 1100 Vienna, Austria.

Wolfgang Hitzl (W)

Team Biostatistics and Publication of Clinical Trial Studies, Research and Innovation Management (RIM), Paracelsus Medical University, 5020 Salzburg, Austria.
Department of Ophthalmology and Optometry, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria.
Research Program Experimental Ophthalmology and Glaucoma Research, Paracelsus Medical University, 5020 Salzburg, Austria.

Christoph Wenisch (C)

Department of Infectious Diseases, Favoriten Clinic, 1100 Vienna, Austria.

Diana Bonderman (D)

Department of Cardiology, Favoriten Clinic, 1100 Vienna, Austria.
Department of Cardiology, Medical University of Vienna, 1090 Vienna, Austria.

Classifications MeSH