Relation between clinical status and right ventricular changes in corona virus disease 19 patients
Keywords:
COVID-19, RV dysfunction, CRP, D-dimerAbstract
Background: Role of laboratory parameters in prediction of COVID-19 severity and correlations with cardiac assessment is not well established and needs further investigations. This study was carried out to assess relation between clinical status and right ventricular changes in corona virus disease 19 patients using 2D echocardiography. Patients and methods: This cross sectional study was conducted on one hundred hospitalized COVID-19 PCR-positive patients with mild, moderate, or severe symptoms who were admitted to AL-MOKATTAM Health Insurance Hospital. Patients were subjected to detailed history taking, clinical examinations, laboratory investigations and transthoracic echocardiography. Results: In this study 100 Covid 19 patients (72 males and 28 females) with mean age of 63.13 ± 9.4 years (range: 33 – 86 years). The lab values are within normal ranges except oxygen saturation which was lower than normal values. The significant risk factors included hypertension, DM, smoking and dyslipidemia, the most prominent was dyslipidemia (50%), followed by smoking (33%), then hypertension (21%) and diabetes mellitus (15%). Relation of RV abnormality was associated with lymphocytes count, CKMB (creatinine kinase myocardial band), CRP, D-Dimer and ferritin (P: 0.005, P:0.001, P:0.000, P:0.017, P:0.015, respectively). Also, RV abnormality was associated with positive troponin (P<0.000).
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