Seroprevalence of SARS-CoV-2 Antibody in Echocardiography and Stress Laboratory

Jain, Renuka; Kroboth, Stacie; Ignatowski, Denise; Khandheria, Bijoy K.

doi:10.17294/2330-0698.1815

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…They may, therefore, display echocardiographic abnormalities before the infection and also be at particularly greater risk to develop further alterations in the setting of COVID-19, as abundantly reported in the literature [37][38][39]. It is also worth mentioning that performing an echocardiogram in COVID-19 patients exposes the echocardiographer to the risk of viral transmission [40]. It is, therefore, paramount to adhere to strict protocols of personal protective equipment and to limit the time of potential viral exposure [7].…”

Section: Right Ventricular Dysfunction In Covid-19: What Is the Evidence?mentioning

confidence: 95%

The Right Ventricle in COVID-19

Bonnemain

Ltaief

Liaudet

2021

JCM

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Infection with the novel severe acute respiratory coronavirus-2 (SARS-CoV2) results in COVID-19, a disease primarily affecting the respiratory system to provoke a spectrum of clinical manifestations, the most severe being acute respiratory distress syndrome (ARDS). A significant proportion of COVID-19 patients also develop various cardiac complications, among which dysfunction of the right ventricle (RV) appears particularly common, especially in severe forms of the disease, and which is associated with a dismal prognosis. Echocardiographic studies indeed reveal right ventricular dysfunction in up to 40% of patients, a proportion even greater when the RV is explored with strain imaging echocardiography. The pathophysiological mechanisms of RV dysfunction in COVID-19 include processes increasing the pulmonary vascular hydraulic load and others reducing RV contractility, which precipitate the acute uncoupling of the RV with the pulmonary circulation. Understanding these mechanisms provides the fundamental basis for the adequate therapeutic management of RV dysfunction, which incorporates protective mechanical ventilation, the prevention and treatment of pulmonary vasoconstriction and thrombotic complications, as well as the appropriate management of RV preload and contractility. This comprehensive review provides a detailed update of the evidence of RV dysfunction in COVID-19, its pathophysiological mechanisms, and its therapy.

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Section: Right Ventricular Dysfunction In Covid-19: What Is the Evidence?mentioning

confidence: 95%

The Right Ventricle in COVID-19

Bonnemain

Ltaief

Liaudet

2021

JCM

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“…The global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic (i.e., COVID-19 pandemic) has prompted renewed interest in the containment of airborne pathogens, including aerosolized pathogens from so-called "aerosol-generating procedures." The ever-growing list of aerosol-generating procedures includes dental procedures, tracheal intubation / extubation, tracheostomy, thoracostomies, oropharyngeal/tracheal aspiration, high-flow air/oxygen delivery, chest compression / cardiopulmonary resuscitation, general anesthesia, and varied endoscopic procedures such as bronchoscopy, esophagogastroduodenoscopy, transesophageal echocardiography, and retrograde PWVAS cholangiopancreatography, as well as surgery, in general (Hellman et al, 2020;Klompas et al, 2021;Tkacik et al, 2021;Romanzi et al, 2021;Donato et al, 2021;Jain et al, 2021;Komperda et al, 2021). Further, exertional breathing (e.g., exercise stress testing, labor), coughing, sneezing, forced expiratory maneuvers, spirometry, and varied respiratory therapy activities also increase the risk of airborne pathogen spread (Wilson et al, 2021, Klompas et al, 2021.…”

Section: Introductionmentioning

confidence: 99%

Simple and Inexpensive Downdraft Table to Limit Aerosol Exposure from Patients, Aerosol-Generating Procedures, and Surgical Smoke

Zdilla

Goldsmith²,

Nurkiewicz³

2023

Proc. W. Va. Acad. Sci.

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Pathogenic aerosols are common, especially in clinical settings. Aerosols are released from quiet and forced respiration, non-respiratory movements (e.g., coughing and sneezing), aerosol-generating procedures, and surgical smoke plumes. Aerosols may contain viruses (e.g., coronaviruses, influenza viruses, adenoviruses) and bacteria (e.g., Streptococcus pneumoniae, Stapylococcus aureus, Pseudomonas aeruginosa, Mycobacterium tuberculosis). Surgical smoke plumes may contain harmful volatile organic compounds (e.g., formaldehyde), viral particles (e.g., human papillomavirus), or cancerous cells. Thus, the containment of airborne pathogenic organisms, xenobiotics, and bioaerosols is of the utmost importance. Yet, despite the importance of negative airflow and exhaust ventilation, many clinical environments do not have adequate ventilation systems— often due to significant monetary expenses or other barriers to access such as remote locations. Recently, a relatively inexpensive downdraft table (< 200 USD), made of wood, tarps, rebar, and corrugated steel roofing material and a simple local exhaust ventilation system (~ 300 USD) have been demonstrated to eliminate airborne VOCs, including VOCs found in surgical smoke. However, the table has not been assessed regarding the capacity to remove water-based aerosols. Therefore, the purpose of this research was to assess the ability of the downdraft table and local exhaust ventilation system to exhaust varied water-based and organic aerosols. The study identifies that a simple and inexpensive downdraft table can effectively exhaust aerosols like those found in clinical environments. This study represents an innovation in accessible medical technology that will improve health and safety in regions that include developing countries and remote locations.

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Seroprevalence of SARS-CoV-2 Antibody in Echocardiography and Stress Laboratory

Cited by 2 publications

References 23 publications

The Right Ventricle in COVID-19

The Right Ventricle in COVID-19

Simple and Inexpensive Downdraft Table to Limit Aerosol Exposure from Patients, Aerosol-Generating Procedures, and Surgical Smoke

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