In-hospital COVID-19 infection echocardiographic analysis: a Brazilian, tertiary single-centre experience

Vieira, Marcelo Luiz Campos; Afonso, Tânia Regina; Oliveira, Alessandra Joslin; Stangenhaus, Carolina; Dantas, Juliana Cardoso Dória; França, Lucas Arraes de; Daminelo, Edgar; Cordovil, Adriana; Martins, Lara A. S.; Meirelles, Rodrigo A. C.; Piveta, Rafael Bonafim; Barros-Gomes, Sérgio; Aguiar, Miguel; Roveri, Patrícia O.; Oliveira, Wercules; Lianza, Alessandro Cavalcanti; Ponchirolli, Andrea Paula Lins; Silva, Líria M. L.; Costa, Rodrigo Cordovil Pinto Lobo da; Fischer, Cláudio Henrique; Morhy, Samira Saady

doi:10.1186/s12947-021-00265-y

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…Intriguingly, there was also no association between TTE findings and the course of infection [ 58 ]. Another study did not report any correlation between TTE parameters and mortality, but tricuspid velocity was linked with PE, acute renal failure, or fatal outcome ( p = 0.003, AUC = 0.739, CI 0.61–0.87) [ 59 ].…”

Section: Tte In Covid-19 Cardiovascular Complicationsmentioning

confidence: 99%

Literature Review—Transthoracic Echocardiography, Computed Tomography Angiography, and Their Value in Clinical Decision Making and Outcome Predictions in Patients with COVID-19 Associated Cardiovascular Complications

Warpechowski

Olichwier

Golonko

et al. 2023

IJERPH

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The sudden outbreak of the COVID-19 pandemic posed a great threat to the world’s healthcare systems. It resulted in the development of new methods and algorithms for the diagnosis and treatment of both COVID-19 and its complications. Diagnostic imaging played a crucial role in both cases. Among the most widely used examinations are transthoracic echocardiography (TTE) and computed tomography angiography (CTA). Cardiovascular complications in COVID-19 are frequently associated with a severe inflammatory response, which results in acute respiratory failure, further leading to severe complications of the cardiovascular system. Our review aims to discuss the value of TTE and CTA in clinical decision making and outcome prediction in patients with COVID-19-associated cardiovascular complications. Our review revealed the high clinical value of various TTE findings and their association with mortality and the prediction of patients’ clinical outcomes, especially when used with other laboratory parameters. The strongest association between increased mortality and findings in TTE was observed for tachycardia and decreased left ventricular ejection fraction (odds ratio (OR) 24.06) and tricuspid annular plane systolic excursion/pulmonary artery systolic pressure ratio (TAPSE/PASP ratio) < 0.31 mm/mmHg (OR 17.80). CTA is a valuable tool in diagnosing COVID-19-associated pulmonary embolism, but its association with mortality and its predictive role should always be combined with laboratory findings and patients’ medical history. D-dimers > 3000 ng/mL were found as the strongest predictors of pulmonary embolism (PE) (OR 7.494). Our review indicates the necessity for an active search for cardiovascular complications in patients with severe COVID-19, as they are linked with an increased probability of fatal outcomes.

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Section: Tte In Covid-19 Cardiovascular Complicationsmentioning

confidence: 99%

Literature Review—Transthoracic Echocardiography, Computed Tomography Angiography, and Their Value in Clinical Decision Making and Outcome Predictions in Patients with COVID-19 Associated Cardiovascular Complications

Warpechowski

Olichwier

Golonko

et al. 2023

IJERPH

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Echocardiographic Characteristics of Covid 19 Patients - A Study From District Superspeciality Hospital in Eastern India

Dastidar

Chakraborty

2022

ijsr

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Introduction: Coronavirus disease 2019 (COVID-19) has emerged as a major cause of morbidity and mortality that is placing unprecedented pressure on healthcare services across the world. Echocardiography is well placed to help further this understanding, being inexpensive, portable, and widely accessible. To describe the cardiac abnormalities in patie Aims: nts with COVID-19 and identify the characteristics of patients who would benet most from echocardiography In our study, out of 1060 patients, most of the 64 pati Materials And Method: Result: ents were 53–73 years of age in Abnormal scan and 60 patients were 51–69 years of age in Normal scan. Age was not signicantly associated with echocardiography (p=0.7194). In our study, majority number of patients had severe symptom severity in Abnormal scan [340 (52%)] compared to normal scan [285 (55%)] and it was statistically signicant (p<0.0001). In our study, 118 patients had Mild Left ventricular abnormality, 87 patients had Moderate Left ventricular abnormality,59 patients had severe Left ventricular abnormality,67 patients had dilated Left ventricular abnormality,37 patients had New MI ,36 patients had Myocarditis and 18 patients had Takotsubo which was statistically signicant (p< .00001). We observed that, most of the patients had Elevated PAP right ventricular abnormality though it was statistically signicant (p< .00001). It was found that, most of the 137 patients had Mild or Moderate Biventricular Failure and it was was statistically signicant (p< .00001). Cardiac abnormalities were Conclusion: observed in half of all COVID-19 patients undergoing echocardiography. Abnormalities were often unheralded or severe, and imaging changed management in one-third of patients.

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In-hospital COVID-19 infection echocardiographic analysis: a Brazilian, tertiary single-centre experience

Cited by 2 publications

References 31 publications

Literature Review—Transthoracic Echocardiography, Computed Tomography Angiography, and Their Value in Clinical Decision Making and Outcome Predictions in Patients with COVID-19 Associated Cardiovascular Complications

Literature Review—Transthoracic Echocardiography, Computed Tomography Angiography, and Their Value in Clinical Decision Making and Outcome Predictions in Patients with COVID-19 Associated Cardiovascular Complications

Echocardiographic Characteristics of Covid 19 Patients - A Study From District Superspeciality Hospital in Eastern India

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