Cardiological society of India document on safety measure during echo evaluation of cardiovascular disease in the time of COVID-19

Gupta, Rakesh; Das, Mrinal Kanti; Mohanan, P.P.; Deb, Pradip Kumar; Parashar, Samiksha; Chopra, HK; Shrivastava, Sameer; Guha, Santanu; Goswami, Kewal C.; Yadav, Rakesh Kumar; Alagesan, R; Amuthan, V; Bansal, Manish; Chakraborty, Rajarshi; Chakraborti, Neil; Chandra, Sharad; Chatterjee, Antara; Chatterjee, Dev; Chatterjee, Saurav; Dutta, Abhijit; de, Alfonso López; Garg, Ankita; Garg, Vishnu Kumar; Goyal, Ankita; Goyal, Neeraj Kumar; Govind, Satish; Gupta, Varun; Hasija, P.K.; Abdullakutty, Jabir; Jain, Paresh; Jain, Vardhmaan; Jayagopal, P.B.; Kasliwal, R.R.; Katyal, V K; Kerkar, P. G.; Khan, Amal Kumar; Khanna, Narendra N.; Mandal, Manoranjan; Majumder, Biswajit; Mishra, Surabhi; Meena, Chandra Bhan; Naik, Nitish; Narain, Varun Shankar; Pancholia, A K; Pathak, Lekha; Ponde, C K; Raghu, Kozhiparambil Gopalan; Ray, Subrata Basu; Roy, Deborah; Sarma, Dipak Kumar; Shanmugasundarum, S.; Singh, Bhanupriya; Tyagi, Sanjay; Vijayaraghavan, G; Wander, GS; Wardhan, Harsh; Nanda, Navin C.

doi:10.1016/j.ihj.2020.05.016

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…All the aseptic precautions were followed before, during, and after the examination according to the recommendations by the Cardiological Society of India. 23 At the end of each day two independent and experienced cardiologists who were blinded to the clinical data of patients, analysed all the recorded echocardiographic images. Intra- and interobserver reliability for LVEF, LA volume, RA, and RV diameter values were assessed in 30 randomly selected patients and intraclass correlation coefficients (ICCs) were calculated.…”

Section: Methodsmentioning

confidence: 99%

Progressive left and right heart dysfunction in coronavirus disease-19: Prospective echocardiographic evaluation

Chaturvedi

Issac

Sharma

et al. 2021

European Heart Journal - Cardiovascular Imaging

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Aims Cardiac dysfunction in coronavirus disease-19 (COVID-19) has been reported during acute phase but serial changes have not been well studied. To determine serial changes in type and severity of echocardiographic left and right heart functions we performed a prospective study. Methods and results Successive COVID-19 patients at discharge from the hospital from June to December 2020 were enrolled. Clinical details were obtained and echocardiography was performed using Philips IE33X-Matrix. Follow-up evaluation was performed after 3 months. In total, 1789 COVID-19 patients were evaluated. Baseline echocardiography was performed in 1000 eligible patients (men 611, women 389). Mean age was 50.2 ± 15 years, hypertension was in 44.0%, diabetes in 49.4%, and coronary disease in 10.8%. COVID-19 was mild in 47.0%, moderate in 39.5%, and severe in 13.5%. Baseline cardiac parameters were more impaired in severe vs. moderate or mild COVID-19. At 3 months, in 632 patients where baseline and follow-up data were available, decline was observed in select left [left ventricular internal diameter in diastole +0.9 ± 0.2 mm, left atrial volume +7.6 ± 0.1 mL/m2, mitral E/e′ +4.8 ± 0.1, and left ventricular ejection fraction (LVEF) −3.7 ± 0.2%] and right [right ventricular internal diameter in diastole +2.1 ± 0.1 mm, right atrial internal dimension +1.6 ± 0.1 mm, tricuspid Vmax +1.0 ± 0.1 cm, and tricuspid annulus plane systolic excursion (TAPSE) −2.7 ± 0.2 mm] heart variables (P < 0.001). Compared to mild COVID-19, decline was significantly greater in moderate/severe disease, LVEF −1.1 ± 0.3 vs. −3.8 ± 0.3%; mitral E/e′ +3.2 ± 0.1 vs. +4.8 ± 0.1, tricuspid Vmax +0.3 ± 0.1 vs. +1.0 ± 0.1 cm, and TAPSE −0.7 ± 0.2 vs. −2.7 ± 0.2 mm (P < 0.001). Conclusion This study shows impaired cardiac functions in severe and moderate COVID-19 compared to mild at hospital discharge and progressive decline in left and right heart functions at 3 months. Impairment is significantly greater in patients with moderate to severe disease.

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Section: Methodsmentioning

confidence: 99%

Progressive left and right heart dysfunction in coronavirus disease-19: Prospective echocardiographic evaluation

Chaturvedi

Issac

Sharma

et al. 2021

European Heart Journal - Cardiovascular Imaging

View full text Add to dashboard Cite

show abstract

“…This applies to standard cardiological examinations in cardiac patients infected with Covid-19 as well as in non-cardiac patients with Covid-19 to evaluate possible Covid-19-associated cardiac involvement ( 13 ). Only examinations that are clearly necessary for diagnosis and that have a further therapeutic consequence should be performed in patients with suspected or confirmed Covid-19 infection, this is also of utmost importance in TEE studies with increased risk of aerosol generation ( 10 , 14 ). Instead of stress echocardiography, alternative forms for testing should be considered ( 9 ).…”

Section: Indicationsmentioning

confidence: 99%

“…Special protection of patients and especially of medical staff is therefore necessary during TEE and TTE examinations. The procedure described here is based on current guidelines of the American Society of Echocardiography ( 6 ), the British Society of Echocardiography ( 7 ), the Italian Society of Echocardiography ( 8 ), the Japanese Society of Echocardiography ( 9 ), the Cardiological Society of India ( 10 ), collection of experience reports and recommendations of the European Society of Cardiology (ESC) ( 11 , 12 ), as well as the recommendations of the local crisis management team of the Salzburg State hospitals.…”

Section: Introductionmentioning

confidence: 99%

Overview of Current International Recommendations for Echocardiography Exams During the Covid-19 Pandemic and Its Local Implementation in Austria

Lichtenauer

Prinz

Granitz

et al. 2021

Front. Cardiovasc. Med.

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Since its first appearance in December 2019, the novel Coronavirus SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) has spread throughout the world at rapid pace causing the coronavirus disease 2019 (Covid-19). Originating in the Chinese province Hubei, more than 91.8 million people globally have now been infected with the coronavirus and more than 1.966.000 patients have died thus far from Covid-19 (as of January 13th 2021). The virus spreads primarily by droplet infection as well as via aerosols during close physical contact. Particularly in medical examinations with close physical contact between examiner and patient, like echocardiography, the risk of contracting the virus is increased. Therefore, the use of personal protective equipment is recommended for the protection of patients and medical personnel alike. In this article, the current recommendations of international professional associations on the use of personal protective equipment and their local implementation are presented.

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“…and is indicated only if alternative imaging modality does not exist. 36 , 37 Exercise stress tests are being avoided. There is higher thresholds exist for elective percutaneous coronary interventions (PCI), coronary artery bypass surgery, electrophysiology studies, cardiac implantable devices, or structural heart interventions.…”

Section: Covid-19 Pandemic and Cardiovascular Carementioning

confidence: 99%

COVID 19 pandemic: Its impact on cardiovascular training and care

Guha¹,

Karak²,

Choudhury³

et al. 2020

Indian Heart Journal

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Cardiological society of India document on safety measure during echo evaluation of cardiovascular disease in the time of COVID-19

Cited by 7 publications

References 12 publications

Progressive left and right heart dysfunction in coronavirus disease-19: Prospective echocardiographic evaluation

Progressive left and right heart dysfunction in coronavirus disease-19: Prospective echocardiographic evaluation

Overview of Current International Recommendations for Echocardiography Exams During the Covid-19 Pandemic and Its Local Implementation in Austria

COVID 19 pandemic: Its impact on cardiovascular training and care

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