Sex-related differences concerning the profile and evolution of cardiovascular complications in patients with post-acute COVID-19 syndrome.

Publication date: Nov 01, 2024

During the COVID-19 pandemic sex-related differences concerning the spectrum of cardiovascular complications have been observed in the acute infection, and during recovery. This study aims to emphasize sex-related disparities regarding left ventricular systolic function (LVSF), right ventricular function (RVF), diastolic dysfunction (DD), and pericardial pathologies during the post-COVID-19 syndrome. 274 patients with post-acute COVID-19 syndrome, 127 men and 147 women, aged under 55, were evaluated within 90 days after the acute illness and followed at 3 and 6 months. Based on detailed transthoracic echocardiography (TTE), we identified significantly more frequently (p˂0. 001) altered LVSF in men, while in women impaired RVF, and DD were significantly more common (p˂0. 001). Pericardial impairment did not seem to be influenced by gender. The TTE parameters characterizing these patterns were correlated with the severity of the initial infection and the time elapsed since and alleviated in time. The multivariate regression analysis confirmed these sex-related associations and their impact on patients’ functional status. Male patients had a higher tendency to develop altered LVSF, while female subjects had more frequently impaired RVF and DD. These abnormalities alleviated in time and exerted a significant influence on patients’ functional status.

Concepts Keywords
6months Adult
90days Cardiovascular Diseases
Echocardiography COVID-19
Pandemic Diastolic dysfunction
Sex Echocardiography
Female
Gender
Humans
Male
Middle Aged
Pericarditis
Post-Acute COVID-19 Syndrome
Right ventricular function
SARS-CoV-2
Sex Characteristics
Sex Factors
Ventricular Dysfunction, Left
Ventricular Dysfunction, Right
Ventricular Function, Left

Semantics

Type Source Name
disease MESH complications
disease MESH post-acute COVID-19 syndrome
disease MESH COVID-19 pandemic
disease IDO acute infection
disease MESH syndrome
disease MESH infection
disease MESH functional status
disease MESH abnormalities
disease MESH Cardiovascular Diseases
disease MESH Pericarditis
disease MESH Ventricular Dysfunction Left
disease MESH Dysfunction Right Ventricular

Original Article

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