scholarly journals Novel Coronavirus-Induced Right Ventricular Failure and Point of Care Echocardiography: A Case Report

Cardiology ◽  
2020 ◽  
Vol 145 (7) ◽  
pp. 467-472 ◽  
Author(s):  
Lu Chen ◽  
Gautham Upadhya ◽  
Uta S. Guo ◽  
Pooja Belligund ◽  
David K. Lee ◽  
...  
Keyword(s):  
Myocardial Injury ◽  
Point Of Care ◽  
Clinical Information ◽  
Cardiovascular Complications ◽  
Cor Pulmonale ◽  
Protective Equipment ◽  
Point Of Care Ultrasound ◽  
Ventricular Failure ◽  
Acute Myocardial Injury ◽  
Novel Coronavirus

Various cardiovascular complications have been reported in patients with coronavirus disease 2019. Common complications include acute myocardial injury, myocarditis, arrhythmia, pericarditis, heart failure, and shock. We present a case of cor pulmonale diagnosed with serial point of care ultrasound. Given the current shortage of personal protective equipment (PPE) and high infectivity of this virus, we acknowledge the utility of this tool in obtaining important clinical information while minimizing exposure and PPE consumption.

scholarly journals ASE Statement on Point-of-Care Ultrasound during the 2019 Novel Coronavirus Pandemic

2020 ◽  
Vol 33 (6) ◽  
pp. 670-673 ◽  
Author(s):  
Amer M. Johri ◽  
Benjamin Galen ◽  
James N. Kirkpatrick ◽  
Michael Lanspa ◽  
Sharon Mulvagh ◽  
...  
Keyword(s):  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Novel Coronavirus

scholarly journals Adverse Cardiovascular Effects of Anti-COVID-19 Drugs

2021 ◽  
Vol 12 ◽  
Author(s):  
Dongling Liu ◽  
Xiang Zeng ◽  
Zufeng Ding ◽  
Fenghua Lv ◽  
Jawahar L. Mehta ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Adverse Effects ◽  
Myocardial Injury ◽  
Cardiovascular Effects ◽  
Cardiovascular Complications ◽  
Therapeutic Interventions ◽  
Risk Of Death ◽  
Cardiovascular Comorbidities ◽  
Global Pandemic ◽  
Acute Myocardial Injury

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or COVID-19 infection is the cause of the ongoing global pandemic. Mortality from COVID-19 infection is particularly high in patients with cardiovascular diseases. In addition, COVID-19 patients with preexisting cardiovascular comorbidities have a higher risk of death. Main cardiovascular complications of COVID-19 are myocardial infarction, myocarditis, acute myocardial injury, arrhythmias, heart failure, stroke, and venous thromboembolism. Therapeutic interventions in terms of drugs for COVID-19 have many cardiac adverse effects. Here, we review the relative therapeutic efficacy and adverse effects of anti-COVID-19 drugs.

scholarly journals Acute Myocardial Injury of Patients with Coronavirus Disease 2019

2020 ◽  
Author(s):  
Huayan Xu ◽  
Keke Hou ◽  
Hong Xu ◽  
Zhenlin Li ◽  
Huizhu Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Injury ◽  
Cardiac Injury ◽  
Cardiac Complications ◽  
Chronic Obstructive ◽  
C Reactive Protein ◽  
Obstructive Pulmonary Disease ◽  
Reactive Protein ◽  
Acute Myocardial Injury ◽  
Novel Coronavirus

AbstractBackgroundSince the outbreak of the Coronavirus Disease 2019 (COVID-19) in China, respiratory manifestations of the disease have been observed. However, as a fatal comorbidity, acute myocardial injury (AMI) in COVID-19 patients has not been previously investigated in detail. We investigated the clinical characteristics of COVID-19 patients with AMI and determined the risk factors for AMI in them.MethodsWe analyzed data from 53 consecutive laboratory-confirmed and hospitalized COVID-19 patients (28 men, 25 women; age, 19–81 years). We collected information on epidemiological and demographic characteristics, clinical features, routine laboratory tests (including cardiac injury biomarkers), echocardiography, electrocardiography, imaging findings, management methods, and clinical outcomes.ResultsCardiac complications were found in 42 of the 53 (79.25%) patients: tachycardia (n=15), electrocardiography abnormities (n=11), diastolic dysfunction (n=20), elevated myocardial enzymes (n=30), and AMI (n=6). All the six AMI patients were aged >60 years; five of them had two or more underlying comorbidities (hypertension, diabetes, cardiovascular diseases, and chronic obstructive pulmonary disease). Novel coronavirus pneumonia (NCP) severity was higher in the AMI patients than in patients with non-definite AMI (p<0.001). All the AMI patients required care in intensive care unit; of them, three died, two remain hospitalized. Multivariate analyses showed that C-reactive protein (CRP) levels, NCP severity, and underlying comorbidities were the risk factors for cardiac abnormalities in COVID-19 patients.ConclusionsCardiac complications are common in COVID-19 patients. Elevated CRP levels, underlying comorbidities, and NCP severity are the main risk factors for cardiac complications in COVID-19 patients.

scholarly journals Clinical Progress Note: Point-of-Care Ultrasound Applications in COVID-19

2020 ◽  
Vol 15 (6) ◽  
pp. 353-355 ◽  
Author(s):  
Benji K Mathews ◽  
Seth Koenig ◽  
Linda Kurian ◽  
Benjamin Galen ◽  
Gregory Mints ◽  
...  
Keyword(s):  
Septic Shock ◽  
Respiratory Failure ◽  
Critical Illness ◽  
Literature Search ◽  
Point Of Care ◽  
Severe Illness ◽  
Point Of Care Ultrasound ◽  
The Novel ◽  
Novel Coronavirus ◽  
Ultrasound Applications

COVID-19, the disease caused by the novel coronavirus SARS-CoV-2, was declared a pandemic on March 11, 2020. Although most patients (81%) develop mild illness, 14% develop severe illness, and 5% develop critical illness, including acute respiratory failure, septic shock, and multiorgan dysfunction.1 Point-of-care ultrasound (POCUS), or bedside ultrasound performed by a clinician caring for the patient, is being used to support the diagnosis and serially monitor patients with COVID-19. We performed a literature search of electronically discoverable peer-reviewed publications on POCUS use in COVID-19 from December 1, 2019, to April 10, 2020. We review key POCUS applications that are most relevant to frontline providers in the care of COVID-19 patients.

scholarly journals Rapid prognostic stratification using Point of Care ultrasound in critically ill COVID patients: The role of epicardial fat thickness, myocardial injury and age

2022 ◽  
Vol 67 ◽  
pp. 33-38
Author(s):  
Michael Millman ◽  
Angela B.S. Santos ◽  
Eduardo G. Pianca ◽  
José Augusto Santos Pellegrini ◽  
Fernanda Carine Conci ◽  
...  
Keyword(s):  
Critically Ill ◽  
Myocardial Injury ◽  
Point Of Care ◽  
Epicardial Fat ◽  
Point Of Care Ultrasound ◽  
Epicardial Fat Thickness ◽  
Prognostic Stratification ◽  
Fat Thickness

scholarly journals Therapeutic Implications of COVID-19 for the Interventional Cardiologist

2020 ◽  
pp. 107424842098273
Author(s):  
Matthew Kelham ◽  
Fizzah A. Choudry ◽  
Stephen Hamshere ◽  
Anne-Marie Beirne ◽  
Krishnaraj S. Rathod ◽  
...  
Keyword(s):  
Myocardial Injury ◽  
Evidence Base ◽  
Cardiovascular Complications ◽  
Review Of The Literature ◽  
Therapeutic Implications ◽  
Pulmonary Manifestations ◽  
Acute Myocardial Injury ◽  
Coronary Syndromes ◽  
Prognostic Importance ◽  
Cardiovascular Services

Although COVID-19 is viewed primarily as a respiratory disease, cardiovascular risk factors and disease are prevalent among infected patients and are associated with worse outcomes. In addition, among multiple extra-pulmonary manifestations, there has been an increasing recognition of specific cardiovascular complications of COVID-19. Despite this, in the initial stages of the pandemic there was evidence of a reduction in patients presenting to acute cardiovascular services. In this masterclass review, with the aid of 2 exemplar cases, we will focus on the important therapeutic implications of COVID-19 for interventional cardiologists. We summarize the existing evidence base regarding the varied cardiovascular presentations seen in COVID-19 positive patients and the prognostic importance and potential mechanisms of acute myocardial injury in this setting. Importantly, through the use of a systematic review of the literature, we focus our discussion on the observed higher rates of coronary thrombus burden in patients with COVID-19 and acute coronary syndromes.

scholarly journals Just the Facts: Recommendations on point-of-care ultrasound use and machine infection control during the coronavirus disease 2019 pandemic

CJEM ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 445-449 ◽  
Author(s):  
Daniel J. Kim ◽  
Tomislav Jelic ◽  
Michael Y. Woo ◽  
Claire Heslop ◽  
Paul Olszynski
Keyword(s):  
Infection Control ◽  
Point Of Care ◽  
Control Measures ◽  
World Health ◽  
Point Of Care Ultrasound ◽  
The Novel ◽  
Infection Control Measures ◽  
Novel Coronavirus ◽  
Health Organization ◽  
Widespread Interest

The World Health Organization declared the novel coronavirus disease 2019 (COVID-19) to be a pandemic on March 11, 2020, and, currently, there are over 10,000 confirmed cases in Canada, with this number expected to grow exponentially. There has been widespread interest in the use of point-of-care ultrasound (POCUS) in the management of patients with suspected COVID-19. The CAEP Emergency Ultrasound Committee has developed recommendations on the use of POCUS in these patients, with an emphasis on machine infection control measures.

scholarly journals Intramural Hematoma as Unexpected Complication of COVID-19 Infection

Aorta ◽  
2020 ◽  
Vol 08 (03) ◽  
pp. 074-075
Author(s):  
Francesca Terzi ◽  
Mariano Cefarelli ◽  
Rossella Fattori ◽  
Marco Di Eusanio
Keyword(s):  
Infectious Disease ◽  
Myocardial Injury ◽  
Wide Spectrum ◽  
Intramural Hematoma ◽  
Cardiovascular Complications ◽  
Organ System ◽  
Acute Aortic Syndrome ◽  
Patient Death ◽  
Novel Coronavirus ◽  
Aortic Intramural Hematoma

AbstractNovel coronavirus disease-2019 (COVID-19) is an ominous infectious disease that seems capable to attack any organ system, leading in the most severe cases to patient death. COVID-19 has been associated with multiple cardiovascular complications of inflammatory and immune origin, leading to a wide spectrum of vascular damage, myocardial injury, stroke, and pulmonary obstruction. We report the case of a patient with COVID-19 infection who developed an acute aortic syndrome with the characteristics of aortic intramural hematoma.

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