About: Prognostic Value of Right Ventricular Longitudinal Strain in Patients with COVID-19

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Prognostic Value of Right Ventricular Longitudinal Strain in Patients with COVID-19
Creator	Zhang, Li Wang, Jing Wang, Bin Sun, Wei Li, Meng Li, H Cui, Li He, Lin Yang, Yali Zhang, Zhang Li, Y Li, ; Wang, ; Wu, Chun Zhang, ; Zhang, Sun Li, He Li, Yuman Xie, Mingxing Xie, Yuji Zhu, Shuangshuang Cai, Cui Cai, Yu Lin He, ; Lv, Qing Xie, Zhu Yuan, Hongliang Zhang, Danqing Zhang, Yanting Zhang, Yongxing
topic	covid:9acc3704e1095a8c1d0bd50a696d613a5bc5e919#this
Source	Elsevier; Medline; PMC
abstract	Abstract Objectives We aimed to investigate whether right ventricular longitudinal strain (RVLS) was independently predictive of higher mortality in coronavirus disease 2019 (COVID-19) patients. Background RVLS obtained from two-dimensional speckle-tracking echocardiography (2D-STE) has been recently demonstrated to be a more accurate and sensitive tool to estimate RV function. The prognostic value of RVLS in patients with COVID-19 remains unknown. Methods 120 consecutive patients with COVID-19 who underwent echocardiography examination were enrolled in our study. Conventional right ventricular (RV) function parameters, including RV fractional area change (RVFAC), tricuspid annular plane systolic excursion (TAPSE) and tricuspid tissue Doppler annular velocities (S’), were obtained. RVLS was determined by 2D-STE. RV function was categorized by tertiles of RVLS. Results Compared with patients in the highest RVLS tertile, those in the lowest tertile were more likely to have a higher heart rate, D-dimer and C-reactive protein, high-flow oxygen and invasive mechanical ventilation therapy, higher incidence of acute heart injury, acute respiratory distress syndrome (ARDS) and deep vein thrombosis, and higher mortality. After a median follow-up of 51 days, 18 patients died. Compared with survivors, non-survivors displayed enlarged right-heart chamber, diminished RV function, and elevated pulmonary artery systolic pressure. Male, ARDS, RVLS, RVFAC and TAPSE were significant univariate predictors of higher risk of mortality (P < 0.05 for all). The Cox model using RVLS (hazard ratio [HR]: 1.33, 95% confidence intervals [CI]: 1.15～1.53; P < 0.001; Akaike Information Criterion [AIC] =129; C-index = 0.89) was found to predict higher mortality more accurately than that with RVFAC (AIC =142; C-index = 0.84) and TAPSE (AIC = 144; C-index = 0.83). The best cutoff value of RVLS for prediction of outcome was −23% (area under the curve, 0.87; P < 0.001; sensitivity, 94.4%; specificity, 64.7%). Conclusions RVLS is a powerful predictor of higher mortality in patients with COVID-19. Our study supports the application of RVLS to identify higher risk COVID-19 patients.
has issue date	2020-04-28(xsd:dateTime)
bibo:doi	10.1016/j.jcmg.2020.04.014
bibo:pmid	32654963
has license	els-covid
sha1sum (hex)	9acc3704e1095a8c1d0bd50a696d613a5bc5e919
schema:url	https://doi.org/10.1016/j.jcmg.2020.04.014
resource representing a document's title	Prognostic Value of Right Ventricular Longitudinal Strain in Patients with COVID-19
has PubMed Central identifier	PMC7195441
has PubMed identifier	32654963
schema:publication	JACC Cardiovasc Imaging
resource representing a document's body	covid:9acc3704e1095a8c1d0bd50a696d613a5bc5e919#body_text
is http://vocab.deri.ie/void#inDataset of	proxy:http/ns.inria.fr/covid19/9acc3704e1095a8c1d0bd50a696d613a5bc5e919
is schema:about of	named entity 'COVID-19' named entity 'elevated' named entity 'Cox model' named entity 'tissue Doppler' named entity 'chamber' named entity 'RESULTS' named entity 'ENROLLED' named entity 'IS A' named entity 'FUNCTION' named entity 'DEEP VEIN THROMBOSIS' named entity 'SURVIVORS' named entity 'MALE' named entity 'DIED' named entity 'POWERFUL' named entity 'mortality' named entity 'coronavirus disease 2019' named entity 'COVID-19' named entity 'acute respiratory distress syndrome (ARDS)' named entity 'TAPSE' named entity 'tricuspid' named entity 'Information' named entity 'acute' named entity 'patients' named entity 'D-dimer' named entity 'mortality' named entity 'function' named entity 'Prognostic' named entity 'AIC' named entity 'TAPSE' named entity 'systolic' named entity 'TAPSE' named entity 'COVID-19' named entity 'deep vein thrombosis' named entity 'COVID-19' named entity 'longitudinal strain' named entity 'echocardiography' named entity 'invasive mechanical ventilation' named entity 'COVID-19' named entity 'COVID-19' named entity 'ARDS' named entity 'hazard ratio' named entity 'acute respiratory distress syndrome' named entity 'COVID-19' named entity 'pulmonary artery' named entity 'EDV' named entity 'Cardiac biomarkers' named entity 'severe acute respiratory syndrome' named entity 'COVID' named entity 'LVEF' named entity 'pulmonary artery'

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