Combined Use of Electrocardiography and Ultrasound to Detect Cardiac and Pulmonary Involvement after Recovery from COVID-19 Pneumonia: A Case Series

Marazzato, Jacopo; Ponti, Roberto De; Verdecchia, Paolo; Masnaghetti, Sergio; Visca, Dina; Spanevello, Antonio; Trapasso, Monica; Zappa, Martina; Mancinelli, Antonella; Angeli, Fabio

doi:10.3390/jcdd8100133

Cited by 6 publications

(3 citation statements)

References 39 publications

(69 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our case series suggests that the majority of vulnerable patients may exhibit cardiopulmonary complications during the acute phase of SARS-CoV-2 infection contracted during hospitalization. Of note, these cardiac complications appear to be comparable to those noted in the early phase of the pandemic [ 8 , 9 , 11 – 15 ]. A non-negligible proportion of patients may react with a significant increase in BP.…”

Section: Discussionmentioning

confidence: 60%

Complications of SARS-CoV-2 Infection During Cardiac Rehabilitation: A Case Series

Zappa

Verdecchia²,

Andolina

et al. 2023

Cardiol Ther

Self Cite

View full text Add to dashboard Cite

Introduction Vaccination strongly reduces the risk of hospitalization and death due to coronavirus disease 2019 (COVID-19). However, the severity of the acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection and the degree of protection exerted over time by vaccination remains to be fully elucidated among hospitalized comorbid and vulnerable patients with SARS-CoV-2 infection. Methods We report a case series of nine hospitalized vulnerable patients who developed a SARS-CoV-2 infection during a cardiac rehabilitation inpatient program. Results Age ranged from 50 to 81 years. All but one patient had received at least three doses of anti-COVID-19 vaccine more than 4 months before the cardiac event. Indications for cardiac rehabilitation included acute coronary syndromes, congestive heart failure, heart valve surgery, and coronary artery bypass graft. After the confirmed diagnosis of SARS-CoV-2 infection, all patients developed symptoms. Eight patients developed at least one SARS-CoV-2-related complication, including a significant increase in high-sensitivity troponin I levels, new-onset hypoxemia, persistent atrial fibrillation, non-sustained ventricular tachycardia and recurrent sinus arrest, pericardial effusion, and a persistent increase in blood pressure. Conclusion Almost all patients developed complications which, however, did not evolve towards more severe expressions of the disease. These data suggest that even in this new phase of the pandemic, vaccination may exert a potential role to reduce the risk of progression towards more severe disease of SARS-CoV-2 infection in vulnerable patients with cardiovascular comorbidities.

show abstract

Section: Discussionmentioning

confidence: 60%

Complications of SARS-CoV-2 Infection During Cardiac Rehabilitation: A Case Series

Zappa

Verdecchia²,

Andolina

et al. 2023

Cardiol Ther

Self Cite

View full text Add to dashboard Cite

show abstract

“…In a recent study, Marrazota et al . concluded that a simple combination of transthoracic echocardiography and LUS can unravel many cardiopulmonary complications that potentially follow COVID-19 pneumonia [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy and prognostic value of lung ultrasound in coronavirus disease (COVID-19)

Azadbakht¹,

Saffari²,

Talarie³

et al. 2022

Pol J Radiol

View full text Add to dashboard Cite

Purpose This study aimed to assess the correlation between lung ultrasound (LUS) and computed tomography (CT) findings and the predictability of LUS scores to anticipate disease characteristics, lab data, clinical severity, and mortality in patients with COVID-19. Material and methods Fifty consecutive hospitalized PCR-confirmed COVID-19 patients who underwent chest CT scan and LUS on the first day of admission were enrolled. The LUS score was calculated based on the presence, severity, and distribution of parenchymal abnormalities in 14 regions. Results The participants’ mean age was 54.60 ± 19.93 years, and 26 (52%) were female. All patients had CT and LUS findings typical of COVID-19. The mean value of CT and LUS severity scores were 11.80 ± 3.89 (ranging from 2 to 20) and 13.74 ± 6.43 (ranging from 1 to 29), respectively. The LUS score was significantly higher in females ( p = 0.016), and patients with dyspnoea ( p = 0.048), HTN ( p = 0.034), immunodeficiency ( p = 0.034), room air SpO 2 ≤ 93 ( p = 0.02), and pleural effusion ( p = 0.036). LUS findings were strongly correlated with CT scan results regarding lesion type, distribution, and severity in a region-by-region fashion (92-100% agreement). An LUS score of 14 or higher was predictive of room air SpO 2 ≤ 93 and ICU admission, while an LUS score ≥ 12 was predictive of death ( p = 0.011, 0.023, and 0.003, respectively). Conclusions Our results suggested that LUS can be used as a valuable tool for detecting COVID-19 pneumonia and determining high-risk hospitalized patients, helping to triage and stratify high-risk patients, which waives the need to undertake irradiating chest CT and reduces the burden of overworked CT department staff.

show abstract

“…The combination of LUS and echocardiography has had a great impact on treatment decisions [54,59]. There are many case reports that report cardiac involvement in COVID-19-affected patients [60].…”

Section: Cardiovascular and Hemodynamic Assessmentmentioning

confidence: 99%

The Role of POCUS to Face COVID-19: A Narrative Review

Sartini,

Ferrari,

Cutuli

et al. 2024

JCM

View full text Add to dashboard Cite

COVID-19 has been a challenging outbreak to face, with millions of deaths among the globe. Acute respiratory failure due to interstitial pneumonia was the leading cause of death other than prothrombotic activation and complications. Lung ultrasound (LUS) and point-of-care ultrasound (POCUS) are widely used not only to triage, to identify, and to monitor lungs involvement but also to assess hemodynamic status and thrombotic and hemorrhagic complications, mainly in critically ill patients. POCUS has gained growing consideration due to its bedside utilization, reliability, and reproducibility even in emergency settings especially in unstable patients. In this narrative review, we aim to describe LUS and POCUS utilization in COVID-19 infection based on the literature found on this topic. We reported the LUS patterns of COVID-19 pulmonary infection, the diagnostic accuracy with respect to CT lung scan, its prognostic value, the variety of scores and protocols proposed, and the utilization of POCUS to investigate the extra-lung complications.

show abstract

Combined Use of Electrocardiography and Ultrasound to Detect Cardiac and Pulmonary Involvement after Recovery from COVID-19 Pneumonia: A Case Series

Cited by 6 publications

References 39 publications

Complications of SARS-CoV-2 Infection During Cardiac Rehabilitation: A Case Series

Complications of SARS-CoV-2 Infection During Cardiac Rehabilitation: A Case Series

Diagnostic accuracy and prognostic value of lung ultrasound in coronavirus disease (COVID-19)

The Role of POCUS to Face COVID-19: A Narrative Review

Contact Info

Product

Resources

About