Cardiac testing is necessary after COVID-19 infectionespecially in those who were seriously ill, there were signs of cardiovascular complications, but also in those who exercise regularly, points out the president of the Medical School EKPA, professor of Cardiology, 3rd University Cardiology Clinic, “I SOTIRIA” Hospital Gerasimos Siasos.
Those who recovered from COVID-19 They must return to the pre-infection level of daily life and activities and in order to achieve this safely, they must in several cases undergo a cardiological examination to avoid possible cardiovascular complications, notes Mr. Siasos.
Depending on the case, the history and clinical course of their disease, especially if there were signs of cardiovascular complications (clinical, imaging, increase in serum troponin values), should be considered for classic cardiovascular risk factors (dyslipidemia, hypertension, diabetes, etc.). ), for the control of cardiac function with electrocardiogram and echocardiography, with 24-hour’s cardiac rhythm recording to detect arrhythmological episodes and with ischemia tests or more advanced imaging techniques (such as magnetic resonance imaging) as the case may be.
What heart tests should be done in the first month
According to the Hellenic Society of Cardiology, in patients after COVID-19 it is considered necessary to perform some basic and in specific cases more specialized examinations on clinical indications. The proposed ones examination that may be requested within the first month of recovery from COVID-19, depending on clinical suspicion are: Electrocardiogram, chest x-ray, fatigue test / dynamic echocardiography, echocardiogram, Rhythm holter, general blood, dimerine, sugar, glucose, , Troponin I / T, NT-proBNP, hsCRP. In the 3rd month after COVID-19 disease may be further prescribed: Cardiac MRI (on clinical signs of myocarditis), Cardiopulmonary fatigue test (ergospirometry) especially for return to sports activities.
Special cardiac clinics
Mr. Siasos emphasizes that the cardiological evaluation and monitoring of those who have been diagnosed with COVID-19 can be performed in special cardiology clinics. At the “I SOTIRIA” Hospital at the 3rd University Cardiology Clinic, there is already a cardiac follow-up clinic for patients after COVID-19 infection, staffed by experienced cardiologists (appointment tel. 1535, Clinic Code 08758 – every Tuesday 11.00).
The purpose of these clinics is initially to safely diagnose the cardiovascular infection if it exists, to assess its extent, to contribute to the treatment and cardiological monitoring of those patients who developed cardiovascular complications during phase of active disease from COVID-19. Also assess the subclinical invasion of the vascular network by COVID-19. It is also an opportunity for patients with disease and underlying cardiovascular risk factors they were unaware of or neglected to treat (diabetes, smoking, kidney failure, hypertension, dyslipidemia, and obesity) to enter an intensive care and intensive care program.
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