The effect of coronavirus disease 2019 pneumonia on myocardial ischemia detected by single-photon emission computed tomography myocardial perfusion imaging

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dc.contributor.authorBilge, Onder
dc.contributor.authorKomek, Halil
dc.contributor.authorKepenek, Ferat
dc.contributor.authorTastan, Ercan
dc.contributor.authorGundogan, Cihan
dc.contributor.authorTatli, Ismail
dc.contributor.authorozturk, Cansu
dc.date.accessioned2024-04-24T17:08:22Z
dc.date.available2024-04-24T17:08:22Z
dc.date.issued2022
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective We aimed to examine the effects of COVID-19 pneumonia on cardiac ischemia detected by myocardial perfusion imaging with single-photon emission computed tomography myocardial perfusion imaging (SPECT-MPI) in patients presenting with chest pain and shortness of breath after recovery from COVID-19. Materials and method Patients with a history of COVID-19 confirmed by reverse transcriptase-PCR test who underwent SPECT-MPI for the evaluation of ischemia with the complaints of chest pain and shortness of breath were screened for this study. Patients who underwent thorax CT during the acute period of the COVID-19 were included. Patients with and without pneumonia were determined based on computed tomographic criteria. The patients with a summed stress score of at least 4 on SPECT-MPI were considered to have abnormal MPI in terms of ischemia. Results A total of 266 patients were included in the study. Sixty-five (24%) patients had ischemia findings on SPECT-MPI. Thorax CT showed pneumonia in 152 (57%) patients, and the patients were divided into two groups as pneumonia and nonpneumonia. Abnormal SPECT-MPI scores, which represented myocardial ischemia, were higher in the pneumonia group. Multivariate logistic regression analyses showed that the presence of hyperlipidemia and pneumonia on CT increased the risk of ischemia on SPECT-MPI (OR, 2.08; 95% CI, 1.08-3.99; P-value = 0.029; and OR, 2.90; 95% Cl, 1.52-5.54; P-value = 0.001, respectively). Conclusion COVID-19 pneumonia was identified as an independent predictor of ischemia on SPECT-MPI. Symptoms including chest pain and shortness of breath in patients who have had COVID-19 pneumonia may be attributed to coronary ischemia.en_US
dc.identifier.doi10.1097/MNM.0000000000001569
dc.identifier.endpage762en_US
dc.identifier.issn0143-3636
dc.identifier.issn1473-5628
dc.identifier.issue7en_US
dc.identifier.pmid35506288
dc.identifier.scopus2-s2.0-85131771298
dc.identifier.scopusqualityQ3
dc.identifier.startpage756en_US
dc.identifier.urihttps://doi.org/10.1097/MNM.0000000000001569
dc.identifier.urihttps://hdl.handle.net/11468/17318
dc.identifier.volume43en_US
dc.identifier.wosWOS:000808057200003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofNuclear Medicine Communications
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCardiac Ischemiaen_US
dc.subjectCovid-19en_US
dc.subjectPneumoniaen_US
dc.subjectSpect-Mpien_US
dc.titleThe effect of coronavirus disease 2019 pneumonia on myocardial ischemia detected by single-photon emission computed tomography myocardial perfusion imagingen_US
dc.titleThe effect of coronavirus disease 2019 pneumonia on myocardial ischemia detected by single-photon emission computed tomography myocardial perfusion imaging
dc.typeArticleen_US

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