Response by Szekely et al to Letters Regarding Article, “Spectrum of Cardiac Manifestations in COVID-19: A Systematic Echocardiographic Study”

Echocardiography, lung ultrasound, and cardiac magnetic resonance findings in COVID‐19: A systematic review

“…Right ventricular fractional area change RV fractional area change (FAC) performed inconsistently in predicting outcomes or progression in patients with COVID-19. RVFAC was not significantly different between patients with severe and non-severe COVID-19, 44,46 nor survivors, and non-survivors. 47,55,56 However, RVFAC was found to be lower in COVID-19 patients with myocardial injury when compared with COVID-19 patients without myocardial injury.…”

“…44 2.2.7 Right ventricular (RV) involvement RV involvement is seen more commonly with multiple studies demonstrating RV dilatation and a range of systolic dysfunction from mild to severe, including documented instance of an acute cor pulmonale like presentation with more severe RV failure seen in more critically ill patients. 38,[44][45][46][47][48][49]…”

“…50,53,54,60 LV diastolic dysfunction was observed in 16%, and systolic dysfunction in 10% of COVID-19 patients. 46,61…”

“…The most common EKG change was T wave inversion. 46,63 The most commonly adjudicated diagnosis was myocarditis and/or stress cardiomyopathy, followed by NSTEMI. 63…”

Caso clínico: Síndrome de distrés respiratorio del adulto en paciente COVID-19 en ventilación mecánica con aspergilosis pulmonar invasiva

“…Refiere que aquellos pacientes con neumonía grave como causa de intubación, PaO 2 /FiO 2 menor de 150, PaCO 2 alta y mayor presión traspulmonar, presentan mayor probabilidad de fallo de ventrículo derecho si reúnen dos de estas características. En los pacientes COVID-19 (ingresados por insuficiencia respiratoria, en ventilación mecánica) los estudios sugieren que hasta el 40% pueden presentar este fallo [13].…”