Value of standard echocardiography at the bedside for COVID-19 patients in intensive care units: a Japanese single-center analysis View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-08-17

AUTHORS

Tomoo Nagai, Hitomi Horinouchi, Koichiro Yoshioka, Yoshihide Nakagawa, Yuji Ikari

ABSTRACT

PurposeIn the era of COVID-19, those special settings or indications for which standard transthoracic echocardiography (TTE) can safely produce benefits or advantages over minimized ultrasound imaging procedures need to be identified. Thus, the purpose of this study was to conduct a retrospective analysis with offline comprehensive conventional measurement of bilateral heart function and develop an appropriate prognostic model for in-hospital death.MethodsWe performed a retrospective analysis of 37 consecutive patients with COVID-19, confirmed by real-time reverse-transcriptase polymerase chain reaction assay, who had undergone clinically indicated standard two-dimensional echocardiographic studies in intensive care wards. Offline comprehensive measurement was also performed. We further integrated the echocardiographic findings as paired evidence of vital organ involvement (possible respiratory distress assessed using right ventricular functional parameters, possible myocardial injury assessed using increased wall thickness, effusion or asynergy) and circulatory failure (suspected low flow status assessed using stroke volume index, suspected congestion assessed using elevated right or left atrial pressure). We evaluated its value for in-hospital death along with other echocardiographic findings.ResultsThe most common features included a normal-sized left atrium and left ventricle with preserved left ventricular ejection fraction, despite deteriorated left ventricular flow volume. Less frequent findings, such as abnormalities in the right heart and left ventricular abnormalities suggesting myocarditis, were observed. Although the single echocardiographic parameters failed to show predictive values for in-hospital death, integration of the echocardiographic findings suggested predictive value (p = 0.04, odds ratio: 12.28).ConclusionStandard TTE at the bedside with offline comprehensive conventional measurement may provide prognostic information that is valuable for the management of patients with COVID-19. More... »

PAGES

595-603

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10396-021-01122-1

DOI

http://dx.doi.org/10.1007/s10396-021-01122-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1140462284

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34403024


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