Imaging data in COVID-19 patients: focused on echocardiographic findings

Badkoubeh, Roya Sattarzadeh; Khoshavi, Meysam; Far, Vahideh Laleh; Mehrakizadeh, Ali; Eslami, Masoud; Salahshour, Faeze; Sardari, Akram; Safari, Sepideh; Larti, Farnoosh; Nissen, Steven E.

doi:10.1007/s10554-020-02148-1

Cited by 13 publications

(16 citation statements)

References 12 publications

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“…Echocardiographic parameters, especially TAPSE measurement, PASP, and pericardial effusion, should be considered an important cardiac screening in COVID-19 patients. (Bursi et al, 2020;Sattarzadeh Badkoubeh et al, 2021) We found that RV dysfunction, depicted by lower TAPSE, may explain the ultimate mechanism directly or indirectly associated with the poor prognosis of COVID-19. Every 1 mm decrease in TAPSE was associated with approximately 20% increase in mortality.…”

Section: Discussionmentioning

confidence: 80%

“…(Stockenhuber et al, 2020) Likely echocardiography findings are: (1) swollen heart mostly due to pericardial effusion, characterized by excessive cardiac weight, thickened biventricular walls, and subsequent increase in biventricular mass; (2) hemodynamic disorder, reflected as reduced cardiac output and increased LV filling pressure; and (3) functional impairment, most commonly seen as RV systolic dysfunction rather than LV, with pulmonary hypertension and RV enlargement. (Liu et al, 2020;Sattarzadeh Badkoubeh et al, 2021) Dilated RV was defined as a RV basal diameter measured >41 mm, while RV systolic dysfunction was defined as a fractional area change (FAC) <35% or a TAPSE <17 mm.…”

Section: Discussionmentioning

confidence: 99%

“…(Stockenhuber et al, 2020;Wibowo et al, 2021) Multiple studies has found that RV strain and TAPSE were associated with higher severity and mortality. (Bursi et al, 2020;D'Alto et al, 2020;Lassen et al, 2020;Li et al, 2020;Liu et al, 2020;Sattarzadeh Badkoubeh et al, 2021;Stockenhuber et al, 2020) LV function is usually preserved or hyperdynamic in COVID-19 patients. (Moody et al, 2020) If affected, this may be secondary to RV volume and excess pressure due to ventricular interdependence.…”

Section: Discussionmentioning

confidence: 99%

“…There were 641 patients from 7 studies included in this systematic review and meta-analysis [ Figure 1, Table 1]. (Bursi et al, 2020;D'Alto et al, 2020;Lassen et al, 2020;Li et al, 2020;Liu et al, 2020;Sattarzadeh Badkoubeh et al, 2021;Stockenhuber et al, 2020) The baseline characteristics of the included studies and the risk of bias assessment using the NOS is displayed in Table 1.…”

Section: J O U R N a L P R E -P R O O F Baseline Characteristicsmentioning

confidence: 99%

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Tricuspid annular plane systolic excursion (TAPSE) measured by echocardiography and mortality in COVID-19: A systematic review and meta-analysis

Martha¹,

Pranata²,

Wibowo³

et al. 2021

International Journal of Infectious Diseases

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: J O U R N a L P R E -P R O O F Baseline Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Tricuspid annular plane systolic excursion (TAPSE) measured by echocardiography and mortality in COVID-19: A systematic review and meta-analysis

Martha¹,

Pranata²,

Wibowo³

et al. 2021

International Journal of Infectious Diseases

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“…After removing duplicates, 126 studies were excluded based on their title and/or abstract. Then, screening of the full texts of the remaining 106 articles identified 12 investigations 13–24 that met all the eligibility criteria, as showed in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Relationship between echocardiographic tricuspid annular plane systolic excursion and mortality in COVID‐19 patients: A Meta‐analysis

et al. 2021

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Background:The evaluation of the tricuspid annular plane systolic excursion (TAPSE) is recommended to assess the right ventricular (RV) systolic function. We performed an updated meta-analysis of the association between TAPSE and short-term mortality in COVID-19 patients. Methods: MEDLINE and Scopus databases were searched to locate all the articles published up to May 1, 2021, reporting data on TAPSE among COVID-19 survivors and non-survivors. The difference of TAPSE between the two groups was expressed as mean difference (MD) with the corresponding 95% confidence interval (CI) using the Mantel-Haenszel random effects model. Both Q value and I 2 statistics were used to assess heterogeneity across studies. Sensitivity analysis, meta-regression, and evaluation of bias were performed. Results: Twelve studies, enrolling 1272 COVID-19 patients (778 males, mean age 69.3 years), met the inclusion criteria and were included in the final analysis. Nonsurvivors had a lower TAPSE compared to survivors (MD = −3.089 mm, 95% CI = −4.087 to −2.091, p < 0.0001, I 2 = 79.0%). Both the visual inspection of the funnel plot and the Egger's tests (t = 1.195, p = 0.259) revealed no evidence of publication bias. Sensitivity analysis confirmed yielded results. Meta-regression analysis evidenced that the difference in TAPSE between the two groups was only influenced by pre-existing chronic obstructive pulmonary disease (COPD, p = 0.02). Conclusion: COVID-19 non-survivors have a lower TAPSE when compared to survivors, especially in COPD subjects. Current data suggest that the TAPSE assessment may provide useful information regarding the short-term prognosis of COVID-19 patients during the infection.

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COVID‐19 pathophysiology and ultrasound imaging: A multiorgan review

Ito

Rodrigues

Hümmelgen

et al. 2022

J of Clinical Ultrasound

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COVID‐19 is a dynamic disease and may affect different tissues and organs as it progresses. Therefore, the impact generated by the disease in all its stages and organs requires a functional and versatile imaging technique able to detect particularities or artifacts dynamically. Ultrasonography fulfills all these requirements and exhibit several advantages relative to other imaging modalities, including portability, lower cost and biosafety. Throughout the COVID‐19 pandemic, ultrasonography displayed a crucial role in the triage, monitoring, indicating organ damages and enabling individualized therapeutical decisions in COVID‐19 patients. This review is dedicated to highlight the main pathological effects correlated with ultrasound changes caused by COVID‐19 in the lungs, heart and liver.

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Imaging data in COVID-19 patients: focused on echocardiographic findings

Cited by 13 publications

References 12 publications

Tricuspid annular plane systolic excursion (TAPSE) measured by echocardiography and mortality in COVID-19: A systematic review and meta-analysis

Tricuspid annular plane systolic excursion (TAPSE) measured by echocardiography and mortality in COVID-19: A systematic review and meta-analysis

Relationship between echocardiographic tricuspid annular plane systolic excursion and mortality in COVID‐19 patients: A Meta‐analysis

COVID‐19 pathophysiology and ultrasound imaging: A multiorgan review

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