Utility of Combined Echocardiography and Lung Ultrasound for Coronavirus Disease-19 Intensive Care Unit Patients: Case Series

Authors

  • Marijan Bosevski University Cardiology Clinic, Faculty of Medicine, Skopje, Republic of Macedonia
  • Filip Janusevski University Cardiology Clinic, Faculty of Medicine, Skopje, Republic of Macedonia
  • Kosta Kapsarov University Clinic for Infective Diseases, Skopje, Republic of Macedonia

DOI:

https://doi.org/10.3889/oamjms.2020.5382

Keywords:

Echocardiography, Lung ultrasound, Coronavirus disease-19

Abstract

BACKGROUND: A little evidence existed for ultrasound evaluation of coronavirus disease (COVID)-19 patients.

AIM: We aimed to present combined transthoracic echocardiography and lung ultrasound in 17 COVID-19 patients in the intensive care unit (ICU).

METHODS: Patients were on age 57 + 14 years, 9 on mechanical ventilation and 8 on oxygen support, with average 1.2 comorbidities per patient. Ultrasound was performed by a single experienced sonographer and an assistant.

RESULTS: Impaired left ventricular ejection fraction (EF) was found in 2 patients (pts) of them (11.8%) and diastolic dysfunction in 7 (41.2%), which was significantly higher in those ones with comorbidities. In 2 pts (11.8%), the presence of pulmonary hypertension with enlarged right ventricle was found. Later one pulmonary thromboembolism was confirmed in them with computed tomography angio. B-lines were found in 8 pts (47.1%), finding that was significantly higher in pts on mechanical ventilation, but not in relation with decreased EF. In one pt (0.6%), pleural effusion was found, but in none of them lung consolidation.

CONCLUSIONS: Our findings revealed that combined echocardiography and lung ultrasound in COVID-19 ICU pts have been an accurate method for diagnosing right and left ventricular function and should be a useful one for guiding of their treatment and prognosis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Bikdeli B, Madhavan MV, Jimenez D, Chuich T, Dreyfus I, Driggin E, et al. COVID-19 and thrombotic or thromboembolic disease: Implications for prevention, antithrombotic therapy, and follow-up: JACC state-of-the-art review. J Am Coll Cardiol. 2020;75(23):2950-73. PMid:32311448

Di Micco P, Di Micco G, Russo V, Poggiano MR, Salzano C, Bosevski M, et al. Blood targets of adjuvant drugs agaist Covid19. J Blood Med. 2020;11:237-41. PMid:32694923

Skulstad H, Cosyns B, Popescu BA, Galderisi M, Salvo GD, Donal E, et al. COVID-19 pandemic and cardiac imaging: EACVI recommendations on precautions, indications, prioritization, and protection for patients and healthcare personnel. Eur Heart J Cardiovasc Imaging. 2020;21(6):592-8. https://doi.org/10.1093/ehjci/jeaa072 PMid:32242891

Mitevska I, Poposka L. Coronavirus disease-19 and cardiovascular disease. Open Access Maced J Med Sci. 2020;8(T1):39-44. https://doi.org/10.3889/oamjms.2020.4804

Szekely Y, Lichter Y, Taieb P, Banai A, Hochstadt A, Merdler I, et al. The spectrum of cardiac manifestations in coronavirus disease 2019 (COVID-19) a systematic echocardiographic study. Circulation. 2020;142(4):342- 53. https://doi.org/10.1161/circulationaha.120.047971 PMid:32469253

Edler C, Schröder AS, Aepfelbacher M, Fitzek A, Heinemann A, Heinrich F, et al. Dying with SARS-CoV-2 infection-an autopsy study of the first consecutive 80 cases in Hamburg, Germany. Int J Legal Med. 2020;134(4):1275- 84. https://doi.org/10.1007/s00414-020-02317-w PMid:32500199

Ackermann M, Verleden SE, Kuehnel M, Haverich A, Welte T, Laenger F, et al. Pulmonary vascular endothelialitis, thrombosis, and angiogenesis in Covid-19. N Engl J Med. 2020;383(2):120-8. https://doi.org/10.1056/nejmoa2015432 PMid:32437596

Gargani L, Soliman-Aboumarie H, Volpicelli G, Corradi F, Pastore MC, Cameli M. Why, when, and how to use lung ultrasound during the COVID-19 pandemic: Enthusiasm and caution. Eur Heart J Cardiovasc Imaging. 2020;21(9):941-8. https://doi.org/10.1093/ehjci/jeaa163 PMid:32515793

Öhman J, Harjola VP, Karjalainen P, Lassus J. Focused echocardiography and lung ultrasound protocol for guiding treatment in acute heart failure. ESC Heart Fail. 2018;5(1):120-8. https://doi.org/10.1002/ehf2.12208 PMid:28960894

Tarakji B, Alali FM, Alenzi A, Nassani MZ. Systematic review with no meta-analysis of coronavirus COVID-19. Open Access Maced J Med Sci. 2020;8(T1):108-11.

Downloads

Published

2020-10-22

How to Cite

1.
Bosevski M, Janusevski F, Kapsarov K. Utility of Combined Echocardiography and Lung Ultrasound for Coronavirus Disease-19 Intensive Care Unit Patients: Case Series. Open Access Maced J Med Sci [Internet]. 2020 Oct. 22 [cited 2024 Mar. 28];8(T1):408-10. Available from: https://oamjms.eu/index.php/mjms/article/view/5382