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超声心动图评估 COVID-19 患者右心室:系统评价。

Echocardiographic assessment of the right ventricle in COVID-19: a systematic review.

机构信息

Cardiovascular Disease Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Dyspnea Lab, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

出版信息

Int J Cardiovasc Imaging. 2021 Dec;37(12):3499-3512. doi: 10.1007/s10554-021-02353-6. Epub 2021 Jul 22.

Abstract

Cardiac involvement has been frequently reported in COVID-19 as responsible of increased morbidity and mortality. Given the importance of right heart function in acute and chronic respiratory diseases, its assessment in SARS-CoV-2 infected patients may add prognostic accuracy. Transthoracic echocardiography has been proposed to early predict myocardial injury and risk of death in hospitalized patients. This systematic review presents the up-to-date sum of literature regarding right ventricle ultrasound assessment. We evaluated commonly used echocardiographic parameters to assess RV function and discussed their relationship with pathophysiological mechanisms involved in COVID-19. We searched Medline and Embase for studies that used transthoracic echocardiography for right ventricle assessment in patients with COVID-19.

摘要

心脏受累在 COVID-19 中经常被报道,是导致发病率和死亡率增加的原因。鉴于右心功能在急性和慢性呼吸疾病中的重要性,对 SARS-CoV-2 感染患者的评估可能会提高预后的准确性。经胸超声心动图已被提出用于早期预测住院患者的心肌损伤和死亡风险。本系统综述介绍了有关右心室超声评估的最新文献综述。我们评估了常用于评估 RV 功能的超声心动图参数,并讨论了它们与 COVID-19 中涉及的病理生理机制的关系。我们在 Medline 和 Embase 中检索了使用经胸超声心动图评估 COVID-19 患者右心室的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c3b/8295549/786c11650e2e/10554_2021_2353_Fig1_HTML.jpg

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