Fighting the pandemic with collaboration at heart: Report from cardiologists in a COVID-19-dedicated Portuguese intensive care unit

Queiros, P Ribeiro; Ferreira, Nuno; Caeiro, Daniel; Ponte, Marta; Guerreiro, Cláudio; Silva, Marisa; Pipa, Sara; Rios, Ana Lúcia; Adrião, Diana; Neto, Raul; Teixeira, Pedro; Silva, Gualter; Silva, Mariana; Castelões, Paula; Braga, Pedro

doi:10.1016/j.repc.2021.01.011

Revista Portuguesa de Cardiologia

2021

DOI: 10.1016/j.repc.2021.01.011

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Fighting the pandemic with collaboration at heart: Report from cardiologists in a COVID-19-dedicated Portuguese intensive care unit

P Ribeiro Queiros

Nuno Ferreira

Daniel Caeiro

et al.

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Cited by 5 publications

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“…In the current issue of the Portuguese Journal of Cardiology, 1 Queirós et al present a retrospective analysis of the experience of a cardiologist team working in a Covid-19 dedicated intensive care unit (ICU) over one month, in the early stage of the pandemic.…”

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confidence: 99%

A fresh future forged in fear and failure

Monteiro¹

2021

Revista Portuguesa de Cardiologia

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mentioning

confidence: 99%

A fresh future forged in fear and failure

Monteiro¹

2021

Revista Portuguesa de Cardiologia

View full text Add to dashboard Cite

A fresh future forged in fear and failure

Monteiro

2021

Revista Portuguesa de Cardiologia (English Edition)

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Temporary mechanical circulatory support for COVID‐19 patients: A systematic review of literature

et al. 2022

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Objective Myocardial damage occurs in up to 25% of coronavirus disease 2019 (COVID‐19) cases. While veno‐venous extracorporeal life support (V‐V ECLS) is used as respiratory support, mechanical circulatory support (MCS) may be required for severe cardiac dysfunction. This systematic review summarizes the available literature regarding MCS use rates, disease drivers for MCS initiation, and MCS outcomes in COVID‐19 patients. Methods PubMed/EMBASE were searched until October 14, 2021. Articles including adults receiving ECLS for COVID‐19 were included. The primary outcome was the rate of MCS use. Secondary outcomes included mortality at follow‐up, ECLS conversion rate, intubation‐to‐cannulation time, time on ECLS, cardiac diseases, use of inotropes, and vasopressors. Results Twenty‐eight observational studies (comprising both ECLS‐only populations and ECLS patients as part of larger populations) included 4218 COVID‐19 patients (females: 28.8%; median age: 54.3 years, 95%CI: 50.7–57.8) of whom 2774 (65.8%) required ECLS with the majority (92.7%) on V‐V ECLS, 4.7% on veno‐arterial ECLS and/or Impella, and 2.6% on other ECLS. Acute heart failure, cardiogenic shock, and cardiac arrest were reported in 7.8%, 9.7%, and 6.6% of patients, respectively. Vasopressors were used in 37.2%. Overall, 3.1% of patients required an ECLS change from V‐V ECLS to MCS for heart failure, myocarditis, or myocardial infarction. The median ECLS duration was 15.9 days (95%CI: 13.9–16.3), with an overall survival of 54.6% and 28.1% in V‐V ECLS and MCS patients. One study reported 61.1% survival with oxy‐right ventricular assist device. Conclusion MCS use for cardiocirculatory compromise has been reported in 7.3% of COVID‐19 patients requiring ECLS, which is a lower percentage compared to the incidence of any severe cardiocirculatory complication. Based on the poor survival rates, further investigations are warranted to establish the most appropriated indications and timing for MCS in COVID‐19.

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Fighting the pandemic with collaboration at heart: Report from cardiologists in a COVID-19-dedicated Portuguese intensive care unit

Cited by 5 publications

References 15 publications

A fresh future forged in fear and failure

A fresh future forged in fear and failure

A fresh future forged in fear and failure

Temporary mechanical circulatory support for COVID‐19 patients: A systematic review of literature

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