Ghazal Sami, Qaddoura Fatima, Kinsara Abdulhalim, Omran Ahmed, Atiyah Merna, Al Refae Mustafa, Dalak Faisal, Ahmari Saeed Al, Al Sehly Abdullah, Sahal Noureldin, Onazi Ahmed, Bader Rima
Saud Al Babtain Cardiac Center, Dammam, Saudi Arabia.
King Fahad Military Medical Complex, Dhahran, Saudi Arabia.
J Saudi Heart Assoc. 2020 May 18;32(5):1-5. doi: 10.37616/2212-5043.1038. eCollection 2020.
We are summarizing the recommendations for the use of Echocardiography in patients during COVID-19 pandemic. The patient risk for COVID-19 should be assessed according to the Saudi CDC guidelines. Echocardiography should only be performed of considered appropriate and will likely alter the clinical decision. In COVID-19 suspected/confirmed patients, echocardiography study should be performed bedside and in infection control approved area with airborne precaution. Limited focused imaging is recommended to minimize contact time. A dedicated machine for COVID-19 suspected/confirmed cases is recommended. Transesophageal echocardiography is considered an aerosol generating procedure; therefore, an alternative modality should be strongly considered. In COVID-19 suspected/confirmed patients, a transesophageal echocardiogram should be done only under strict airborne precaution. In low risk patient for COVID-19, Transesophageal echocardiography should be done with a minimum of droplet precaution, however; N95 respirator is preferred to surgical mask in this situation.
我们正在总结关于在新冠疫情期间对患者使用超声心动图的建议。应根据沙特疾病预防控制中心的指南评估患者感染新冠病毒的风险。仅在认为合适且可能改变临床决策时才应进行超声心动图检查。对于疑似/确诊新冠病毒感染的患者，超声心动图检查应在床边且在经感染控制批准的、采取空气传播预防措施的区域进行。建议进行有限的重点成像以尽量减少接触时间。建议为疑似/确诊新冠病毒感染的病例配备专用设备。经食管超声心动图被视为产生气溶胶的操作；因此，应强烈考虑采用替代方式。对于疑似/确诊新冠病毒感染的患者，仅应在严格的空气传播预防措施下进行经食管超声心动图检查。对于感染新冠病毒低风险的患者，进行经食管超声心动图检查时应至少采取飞沫预防措施，不过在这种情况下，首选N95口罩而非外科口罩。
