To the Editor,
We would like to share ideas on the publication “Evaluation of Cardiac Function in Uncomplicated COVID-19 Survivors by 2-Dimensional Speckle Tracking Imaging.”1 Akbulut et al1 noted that the study is valuable in putting forth the unaffected ventricular and atrial functions on long term in uncomplicated COVID-19 cases and may decrease the survivors’ anxiety and the number of unnecessary applications to cardiology clinics. We agree that COVID-19 can cause several health problems including cardiac problem.2 The alteration of cardiac function in COVID-19 survivors is possible, and the present study showed good data. However, it is necessary to recognize the confounding effect. There might be a co-morbidity in the COVID-19 survivor which might occur before or after COVID-19 illness. Additionally, the effect of COVID-19 vaccination, which might be given prior to or after COVID-19 illness, should also be mentioned.
References
- 1. Akbulut M, Tan S, Gerede Uludağ DM, Kozluca V, Dinçer İ. Evaluation of cardiac function in uncomplicated COVID-19 survivors by 2-dimensional speckle tracking imaging. Anatol J Cardiol. 2022;26(11):841 848. ( 10.5152/AnatolJCardiol.2022.1360) [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2. Silva Andrade B, Siqueira S, de Assis Soares WR.et al. Long-COVID and post-COVID health complications: an up-to-date review on clinical conditions and their possible molecular mechanisms. Viruses. 2021;13(4):700. ( 10.3390/v13040700) [DOI] [PMC free article] [PubMed] [Google Scholar]