Vasudev Rahul, Guragai Nirmal, Habib Habib, Hosein Kevin, Virk Hartaj, Goldfarb Irvin, Bikkina Mahesh, Shamoon Fayez, Pullatt Raja
Department of Cardiology, St Joseph's University Medical Center, Paterson, NJ, USA.
Department of Cardiology, St Michael's Medical Center, Newark, NJ, USA.
Echocardiography. 2020 Sep;37(9):1362-1365. doi: 10.1111/echo.14825. Epub 2020 Aug 13.
Cardiovascular complications related to coronavirus disease 2019 (COVID-19) have led to the need for echocardiographic services during the pandemic. The present study aimed to identify the echocardiographic findings in hospitalized COVID-19 patients and their utility in disease management.
We included patients who were diagnosed with COVID-19 using polymerase chain reaction and those who underwent echocardiographic examination during their hospitalization.
Altogether, 45 patients were evaluated. The mean age was 61.4 ± 12.2 years. Hypertension (n = 29, 64%) and diabetes mellitus (n = 25, 55%) were the most common comorbidities followed by congestive heart failure (n = 11, 24%), coronary artery disease (n = 9, 20%), and valvular heart disease (n = 3, 7%). Eight patients (18%) showed evidence of myocardial injury, as suggested by elevated troponin levels. Brain natriuretic peptide was elevated in 14 patients (36%), and 14 patients had left ventricular dysfunction in the form of reduced ejection fraction (31%). Right ventricular (RV) dilatation was observed in six patients, and five patients had reduced RV ejection fraction. RV pressure and volume overload were observed in three patients. RV thrombus was observed in one patient. Pulmonary pressure was elevated in 10 patients (24%).
Two-dimensional echocardiography can be an important bedside tool for the assessment of cardiovascular abnormalities and hemodynamic status of COVID-19 patients.
2019冠状病毒病（COVID-19）相关的心血管并发症导致在疫情期间需要超声心动图检查服务。本研究旨在确定住院COVID-19患者的超声心动图检查结果及其在疾病管理中的作用。
我们纳入了通过聚合酶链反应诊断为COVID-19的患者以及住院期间接受超声心动图检查的患者。
共评估了45例患者。平均年龄为61.4±12.2岁。最常见的合并症是高血压（n = 29，64%）和糖尿病（n = 25，55%），其次是充血性心力衰竭（n = 11，24%）、冠状动脉疾病（n = 9，20%）和心脏瓣膜病（n = 3，7%）。8例患者（18%）肌钙蛋白水平升高，提示存在心肌损伤。14例患者（36%）脑钠肽升高，14例患者射血分数降低，存在左心室功能障碍（占31%）。6例患者观察到右心室（RV）扩张，5例患者右心室射血分数降低。3例患者观察到右心室压力和容量负荷过重。1例患者观察到右心室血栓。10例患者（24%）肺动脉压力升高。
二维超声心动图可成为评估COVID-19患者心血管异常和血流动力学状态的重要床边工具。
