Background
New-onset or worsening heart failure is the most common extra-pulmonary complication
of community-acquired pneumonia (CAP) during the first 30 days after diagnosis.
Methods
We evaluated the changes in the right ventricular function amongst adult CAP survivors
from the time of acute infection to its resolution. We performed comprehensive transthoracic
echocardiographic examinations to assess right heart function during the acute illness
and the convalescent period (4 to 6 weeks after hospital discharge).
Results
Twenty-six patients underwent acute measurements, of which convalescent measurements
were completed in 19 subjects. There was no significant change in any of the right
heart function parameters from the acute to convalescent stage of CAP.
Conclusions
Our results suggest that right ventricular function does not meaningfully change in
the transition from the acute to convalescent stage of CAP in non-critically ill adult
CAP survivors.
Keywords
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References
- Cardiac complications in patients with community-acquired pneumonia: incidence, timing, risk factors, and association with short-term mortality.Circulation. 2012; 125: 773-781
- Intermediate and long-term risk of new-onset heart failure after hospitalization for pneumonia in elderly adults.American Heart Journal. 2015; 170: 306-312
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- Strain echocardiography identifies impaired longitudinal systolic function in patients with septic shock and preserved ejection fraction.Cardiovasc Ultrasound. 2015; 13: 30
Article info
Publication history
Published online: July 28, 2017
Accepted:
June 28,
2017
Received in revised form:
May 31,
2017
Received:
March 16,
2017
Identification
Copyright
© 2017 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
