Arterial echo-Doppler findings in the distal sector of the upper extremities in COVID-19 convalescents
Keywords:
arteries, COVID-19, Doppler ultrasonography, extremities, radial artery, risk factors, ulnar artery, upper extremityAbstract
Introduction: The SARS-CoV-2 virus has the potential to cause vascular complications in all body systems.
Objective: To determine arterial echo-Doppler findings in the distal segment of the upper extremities in COVID-19 convalescents.
Methods: A cross-sectional study was conducted in 173 COVID-19 convalescents using echo-Doppler of the aforementioned arteries. Variables studied included sex, age, atherosclerotic risk factors, and spectral morphology of arterial segments in the distal segment of the upper extremities. Descriptive statistics and the chi-square test were used.
Results: Monophasic flow predominated (40.2%–43.4%) in the bilateral ulnar and radial arteries. This finding was associated (p=0.000-0.005) in all 4 arterial segments, with male sex (23.1% to 24.9%), the presence of 2 to 3 atherosclerotic risk factors (22.5% to 24.9%; p = 0.000-0.002); as well as age <60 years (p = 0.001-0.010) in the distal sector of the upper left extremity (31.2% and 33.5%) and right (p = 0.008-0.025) in the case of overweight (16.8% and 17.9%). Furthermore, it was associated with dyslipidemia in the left radial segment (20.8%; p = 0.029).
Conclusions: Monophasic spectral morphology in upper distal arteries is the most frequent abnormal finding in COVID-19 convalescents, especially in those under 60 years of age, men, and with atherosclerotic risk factors such as overweight and dyslipidemia.
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1. Revzin MV, Raza S, Warshawsky R, D’Agostino C, Srivastava NC, Bader AS, et al. Multisystem Imaging Manifestations of COVID-19, Part 1: Viral Pathogenesis and Pulmonary and Vascular System Complications [Internet]. RadioGraphics. 2020; 40(6):1574–99. DOI: 10.1148/rg.2020200149
2. Ambrosino P, Parrella P, Formisano R, Perrotta G, D'Anna SE, Mosella M, et al. Cardiopulmonary exercise and endothelial function in convalescent COVID-19 patient [Internet]. J Clin Med. 2022; 11(5):[aprox. 8 p.]. DOI: 10.3390/jcm11051452
3. Zamora González Y, Castillo González D, Macias Abraham C, Lam Díaz RM, Ruiz Villegas L. Estudio de la hemostasia en pacientes convalecientes de la COVID-19 [Internet]. Revista Cubana de Hematología, Inmunología y Hemoterapia. 2021 [acceso: 30/01/2022]; número especial sobre COVID-19:e1552. Disponible en: https://revhematologia.sld.cu/index.php/hih/article/view/1552?articlesBySameAuthorPage=9
4. Rubio Montaña M, Bernal Bernal C, García-Prieto Bayarri MV, Gómez Tello V, España Caparrós G. Trombólisis intraarterial en paciente COVID-19 con isquemia aguda en extremidad inferior [Internet]. Angiología. 2022; 74(1):30-3. DOI: 10.20960/angiologia.00316
5. Kim ES, Sharma AM, Scissons R, Dawson D, Eberhardt RT, Gerhard-Herman M, et al. Interpretation of peripheral arterial and venous Doppler waveforms: A consensus statement from the Society for Vascular Medicine and Society for Vascular Ultrasound [Internet]. Vasc Med. 2020; 25(5):484-506. DOI: 10.1177/1358863X20937665
6. Titievsky LC, Mosso GF, García Mallea G, Nayi J, Kupelián A, Reyes G, et al. Guías de práctica de eco-Doppler Vascular 2022 de la Federación Argentina de Cardiología. Comité de Enfermedades Vasculares Periféricas y Stroke de FAC [Internet]. Rev Fed Arg Cardiol. 2022 [acceso: 05/05/2023]; 51(Supl 4):7-62. Disponible en: https://revistafac.org.ar/ojs/index.php/revistafac/issue/view/35
7. Polak JF. Doppler: cuello y extremidades [Internet]. Madrid: Marbán; 2007. [acceso: 30/09/2022]. Disponible en: https://marbanlibros.com/products/polak-doppler-cuello-y-extremidades?srsltid=AfmBOooau7y_lSBeM7xgrRkHyu9rykVn0fPn_84l5MrY3pk1srAXIIsU
8. Martínez González A, León Álvarez JL, Marcos Gutiérrez Y. Diámetro basal de la arteria braquial en la evaluación del paciente con hipertensión esencial [Internet]. Rev Cub Med. 2020 [acceso: 22/11/2020]; 59(2):e1351. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232020000200003
9. Sánchez L, Dellamea M, Sanjuan I, Sáez A, Togni F, Sosa M. Flujos monofásicos distales: no todo es aterosclerosis [Internet]. Revista Argentina de Diagnóstico por Imágenes. 2016 [acceso: 30/09/2022]; 5(13):7-12. Disponible en: https://servimed.com.mx/revistavirtual/articulos/2016/3_agosto/argentina/fed_arg/flujos_monofasicos_distales.pdf
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Copyright (c) 2025 Claudia Hernández Pérez, Melvis González Méndez, Nélida de la Caridad Carballo Jorge, Dayana Coutin Rondón, Lesly Solís Alfonso, Yenisleidy Miranda Lorenzo, Narciso Argelio Jiménez Pérez
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