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1.
Am J Trop Med Hyg ; 103(1): 79-82, 2020 07.
Artículo en Inglés | MEDLINE | ID: covidwho-658335

RESUMEN

Novel coronavirus disease (COVID-19) is a highly contagious disease caused by severe acute respiratory distress syndrome coronavirus-2 that has resulted in the current global pandemic. Currently, there is no available treatment proven to be effective against COVID-19, but multiple medications, including hydroxychloroquine (HCQ), are used off label. We report the case of a 60-year-old woman without any cardiac history who developed right bundle brunch block and critically prolonged corrected electrocardiographic QT interval (QTc 631 ms) after treatment for 3 days with HCQ, which resolved on discontinuation of the medication. This case highlights a significant and potentially life-threatening complication of HCQ use.


Asunto(s)
Bloqueo de Rama/inducido químicamente , Infecciones por Coronavirus/tratamiento farmacológico , Hidroxicloroquina/efectos adversos , Hidroxicloroquina/uso terapéutico , Síndrome de QT Prolongado/inducido químicamente , Neumonía Viral/tratamiento farmacológico , Betacoronavirus , Brunei , Ecocardiografía , Femenino , Humanos , Persona de Mediana Edad , Pandemias
4.
Pediatr Infect Dis J ; 39(8): e204-e205, 2020 08.
Artículo en Inglés | MEDLINE | ID: covidwho-526191

RESUMEN

A 17-year-old obese male was admitted to the pediatric intensive care unit after presenting with fluid-responsive septic shock following 7 days of fever, gastrointestinal symptoms and neck pain. Initial workup was positive for SARS-CoV-2 and elevated troponin I and brain natriuretic peptide. Echocardiography and cardiac magnetic resonance imaging confirmed acute myocarditis. One week after discharge, repeat echocardiogram demonstrated improved heart function with only residual myocardial dysfunction.


Asunto(s)
Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/fisiopatología , Miocarditis/complicaciones , Miocarditis/fisiopatología , Neumonía Viral/complicaciones , Neumonía Viral/fisiopatología , Adolescente , Betacoronavirus , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/terapia , Ecocardiografía , Corazón/fisiopatología , Humanos , Unidades de Cuidados Intensivos , Imagen por Resonancia Magnética , Masculino , Miocarditis/diagnóstico , Miocarditis/terapia , Péptido Natriurético Encefálico , Ciudad de Nueva York , Pandemias , Neumonía Viral/diagnóstico , Neumonía Viral/terapia , Choque Séptico/fisiopatología
5.
BMC Cardiovasc Disord ; 20(1): 314, 2020 Jul 01.
Artículo en Inglés | MEDLINE | ID: covidwho-620066

RESUMEN

BACKGROUND: Coronary artery aneurysm (CAA) is a potential cause of infarction. During the outbreak of coronavirus disease 2019 (COVID-19), home isolation and activity reduction can lead to hypercoagulability. Here, we report a case of sudden acute myocardial infarction caused by large CAA during the home isolation. CASE PRESENTATION: During the outbreak of coronavirus disease 2019 (COVID-19),a 16-year-old man with no cardiac history was admitted to CCU of Tang du hospital because of severe chest pain for 8 h. The patient reached the hospital its own, his electrocardiogram showed typical features of anterior wall infarction, echocardiography was performed and revealed local anterior wall dysfunction, but left ventricle ejection fraction was normal, initial high-sensitivity troponin level was 7.51 ng/mL (<1.0 ng/mL). The patient received loading dose of aspirin and clopidogrel bisulfate and a total occlusion of the LAD was observed in the emergency coronary angiography (CAG). After repeated aspiration of the thrombus, TIMI blood flow reached level 3. Coronary artery aneurysm was visualized in the last angiography. No stent was implanted. Intravascular ultrasound (IVUS) was performed and the diagnosis of coronary artery aneurysm was further confirmed. The patient was discharged with a better health condition. CONCLUSIONS: Coronary artery aneurysm is a potential reason of infarction, CAG and IVUS are valuable tools in diagnosis in such cases, during the outbreak of coronavirus disease 2019 (COVID-19), home isolation and activity reduction can lead to hypercoagulability, and activities at home should be increased in the high-risk patients.


Asunto(s)
Infarto de la Pared Anterior del Miocardio , Aneurisma Coronario , Angiografía Coronaria/métodos , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Trombectomía/métodos , Ultrasonografía Intervencional/métodos , Adolescente , Infarto de la Pared Anterior del Miocardio/diagnóstico , Infarto de la Pared Anterior del Miocardio/etiología , Infarto de la Pared Anterior del Miocardio/fisiopatología , Infarto de la Pared Anterior del Miocardio/cirugía , Betacoronavirus/aislamiento & purificación , China/epidemiología , Aneurisma Coronario/complicaciones , Aneurisma Coronario/diagnóstico por imagen , Ecocardiografía/métodos , Electrocardiografía/métodos , Humanos , Masculino , Pandemias , Medición de Riesgo , Factores de Riesgo , Resultado del Tratamiento
6.
Heart Lung Circ ; 29(6): e78-e83, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: covidwho-438331

RESUMEN

This Cardiac Society of Australia and New Zealand (CSANZ) Imaging Council Position Statement aims to guide local, regional and national clinical practice, and facilitate resource and echocardiographic service planning appropriately during the current COVID-19 global pandemic. General considerations include workforce arrangements and contingency plans, patient risk assessment for COVID-19 and level of care (personal protective equipment) for staff. Both outpatient and inpatient settings are addressed, including specific considerations in the in-patient setting including scanning protocols, screening modalities and indications for echocardiograms in the context of COVID-19 infection.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus , Prestación de Atención de Salud/normas , Ecocardiografía/normas , Pandemias , Neumonía Viral , Tomografía de Emisión de Positrones/normas , Australia/epidemiología , Cardiología , Infecciones por Coronavirus/diagnóstico por imagen , Infecciones por Coronavirus/epidemiología , Humanos , Nueva Zelanda/epidemiología , Neumonía Viral/diagnóstico por imagen , Neumonía Viral/epidemiología , Medición de Riesgo , Sociedades Médicas
8.
J Am Soc Echocardiogr ; 33(6): 676-682, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: covidwho-380547

RESUMEN

BACKGROUND: Three cases of the application of focused cardiac ultrasound in patients with coronavirus disease 2019 are presented. METHODS: Cardiac point-of-care ultrasound, limited transthoracic echocardiography, and critical care echocardiography were applied in cases of heart failure, pulmonary embolism, and myocarditis with thrombus respectively. RESULTS: The impact on patient management and the global context of each presentation are discussed. CONCLUSIONS: Focused cardiac point-of-care ultrasound played an important, front-line role in the bedside management of patients during the COVID-19 pandemic in Wuhan, China.


Asunto(s)
Betacoronavirus , Cardiomiopatías/diagnóstico , Infecciones por Coronavirus/epidemiología , Cuidados Críticos/métodos , Ecocardiografía/métodos , Neumonía Viral/epidemiología , Sistemas de Atención de Punto , Embolia Pulmonar/diagnóstico , Anciano , Cardiomiopatías/complicaciones , China/epidemiología , Infecciones por Coronavirus/complicaciones , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Neumonía Viral/complicaciones , Embolia Pulmonar/complicaciones
9.
J Am Soc Echocardiogr ; 33(6): 683-689, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: covidwho-379721

RESUMEN

The grave clinical context of the coronavirus disease 2019 (COVID-19) pandemic must be understood. Italy is immersed in the COVID-19 pandemic. Most of the world will soon follow. The United States currently has the most documented cases of COVID-19 of any nation. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated acute cardiomyopathy is common in critical care patients and is associated with a high mortality rate. Patients with COVID-19 frequently require mechanical support for adequate oxygenation. A severe shortfall of ventilators is predicted. Of equal concern is the projected shortage of trained professionals required to care for patients on mechanical ventilation. Ultrasonography is proving to be a valuable tool for identifying the pulmonary manifestations and progression of COVID-19. Lung ultrasound also facilitates successful weaning from mechanical ventilation. Ultrasonography of the lung, pleura, and diaphragm are easily mastered by experienced echocardiographers. Echocardiography has an established role for optimal fluid management and recognition of cardiac disease, including SARS-CoV-2-associated acute cardiomyopathy. Cardiologists, anesthesiologists, sonographers, and all providers should be prepared to commit their full spectrum of skills to mitigate the consequences of the pandemic. We should also be prepared to collaborate and cross-train to expand professional services as necessary. During a declared health care crisis, providers must be familiar with the ethical principles, organizational structure, practical application, and gravity of limited resource allocation.


Asunto(s)
Betacoronavirus , Enfermedades Cardiovasculares/diagnóstico , Infecciones por Coronavirus/complicaciones , Ecocardiografía/métodos , Pandemias , Neumonía Viral/complicaciones , Asignación de Recursos/ética , Enfermedades Cardiovasculares/complicaciones , Humanos
10.
J Am Soc Echocardiogr ; 33(6): 654-657, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: covidwho-378870

RESUMEN

Sonographers need to be familiar with and prepared to implement strategies for reducing the risk of exposure to and transmission of the COVID-19 virus. Strategies to employ can be grouped into three broad categories: (1) whom to scan, (2) where to scan, and (3) how to scan. Whom to scan addresses sonographer strategies for determining essential and emergent scan status. Where to scan addresses sonographer practice strategies for selecting equipment, use of rooms, portable examinations, and training personnel. How to scan addresses the topics of scanning techniques (tailored protocols, right-handed scanning, use of barrier devices) and equipment cleaning and disinfecting.


Asunto(s)
Betacoronavirus , Consenso , Infecciones por Coronavirus/epidemiología , Brotes de Enfermedades , Transmisión de Enfermedad Infecciosa/prevención & control , Ecocardiografía/normas , Neumonía Viral/epidemiología , Sociedades Médicas , Técnicos Medios en Salud/normas , Infecciones por Coronavirus/complicaciones , Humanos , Pandemias , Neumonía Viral/complicaciones , Estados Unidos/epidemiología
12.
Monaldi Arch Chest Dis ; 90(2)2020 May 19.
Artículo en Inglés | MEDLINE | ID: covidwho-306400

RESUMEN

SARS-CoV-2 infection, responsible for COVID-19, can determine cardiac events, which require a quick diagnosis and management, and should not be overlooked due to the presence of COVID-19 infection. In some cases, cardiovascular symptoms can also be the first and only manifestation of SARS-CoV-2 infection. In patients with COVID-19, the full cardiovascular disease diagnostic algorithm can be hindered by logistic restrain mainly derived from the difficulty of transporting patients in critical conditions to Radiology or Hemodynamics wards. The echocardiography in SARS-CoV-2 pandemic can help for differential diagnosis of cardiac events, which can be related or unrelated by the infection and can likely impact on short-term prognosis. Indeed, transthoracic echocardiography plays a key role in the screen for CV complications of COVID-19 infection: it must be focused cardiac ultrasound study (FoCUS) performed at bedside. All transthoracic, transesophageal and stress echocardiograms in patients in which test results are unlikely to change the management strategy should be postponed.


Asunto(s)
Enfermedades Cardiovasculares/diagnóstico por imagen , Enfermedades Cardiovasculares/virología , Infecciones por Coronavirus/diagnóstico por imagen , Infecciones por Coronavirus/fisiopatología , Ecocardiografía/métodos , Neumonía Viral/diagnóstico por imagen , Neumonía Viral/fisiopatología , Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/virología , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Neumonía Viral/virología
14.
J Card Surg ; 35(6): 1345-1347, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: covidwho-276419

RESUMEN

During the COVID-19 pandemic, emergency room visits have drastically decreased for non-COVID conditions such as appendicitis, heart attack, and stroke. Patients may be avoiding seeking medical attention for fear of catching the deadly condition or as an unintended consequence of stay-at-home orders. This delay in seeking care can lead to increased morbidity and mortality, which has not been figured in the assessment of the extent of damage caused by this pandemic. This case illustrates an example of "collateral damage" caused by the COVID-19 pandemic. What would have been a standard ST-elevation myocardial infarction treated with timely and successful stenting of a dominant right coronary artery occlusion, became a much more dangerous postinfarction ventricular septal defect; all because of a 2-day delay in seeking medical attention by an unsuspecting patient.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Rotura Cardíaca Posinfarto/diagnóstico por imagen , Defectos del Tabique Interventricular/etiología , Neumonía Viral/epidemiología , Infarto del Miocardio con Elevación del ST/diagnóstico por imagen , Infarto del Miocardio con Elevación del ST/terapia , Tiempo de Tratamiento , Diagnóstico Tardío , Ecocardiografía/métodos , Servicio de Urgencia en Hospital , Rotura Cardíaca Posinfarto/cirugía , Defectos del Tabique Interventricular/diagnóstico por imagen , Defectos del Tabique Interventricular/cirugía , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Seguridad del Paciente , Medición de Riesgo , Infarto del Miocardio con Elevación del ST/complicaciones , Factores de Tiempo , Resultado del Tratamiento
16.
Kardiol Pol ; 78(4): 357-363, 2020 04 24.
Artículo en Inglés | MEDLINE | ID: covidwho-217839

RESUMEN

Transthoracic and transesophageal echocardiography may be required in patients with coronavirus disease 2019 (COVID­19), resulting in direct contact with the patient and risk of transmitting the infection from patients to medical personnel. Therefore, we recommend to perform problem­oriented time­limited transthoracic examinations. Whenever possible, examinations should be analyzed offline, outside the isolation zones. Transesophageal echocardiography is considered an aerosol­generating procedure and should be performed only as a lifesaving procedure. Personnel should use appropriate personal protection equipment in the immediate vicinity of the patients in accordance with the relevant guidelines.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Ecocardiografía/normas , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/epidemiología , Transmisión de Enfermedad Infecciosa/prevención & control , Ecocardiografía/instrumentación , Ecocardiografía/métodos , Cardiopatías/diagnóstico por imagen , Humanos , Control de Infecciones/métodos , Control de Infecciones/normas , Equipo de Protección Personal , Neumonía Viral/complicaciones , Neumonía Viral/epidemiología , Enfermedades Respiratorias/diagnóstico por imagen
17.
Am J Trop Med Hyg ; 103(1): 79-82, 2020 07.
Artículo en Inglés | MEDLINE | ID: covidwho-209978

RESUMEN

Novel coronavirus disease (COVID-19) is a highly contagious disease caused by severe acute respiratory distress syndrome coronavirus-2 that has resulted in the current global pandemic. Currently, there is no available treatment proven to be effective against COVID-19, but multiple medications, including hydroxychloroquine (HCQ), are used off label. We report the case of a 60-year-old woman without any cardiac history who developed right bundle brunch block and critically prolonged corrected electrocardiographic QT interval (QTc 631 ms) after treatment for 3 days with HCQ, which resolved on discontinuation of the medication. This case highlights a significant and potentially life-threatening complication of HCQ use.


Asunto(s)
Bloqueo de Rama/inducido químicamente , Infecciones por Coronavirus/tratamiento farmacológico , Hidroxicloroquina/efectos adversos , Hidroxicloroquina/uso terapéutico , Síndrome de QT Prolongado/inducido químicamente , Neumonía Viral/tratamiento farmacológico , Betacoronavirus , Brunei , Ecocardiografía , Femenino , Humanos , Persona de Mediana Edad , Pandemias
18.
Curr Probl Cardiol ; 45(8): 100620, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: covidwho-197888

RESUMEN

Corona virus disease 2019(COVID-19) pandemic has caused a significant burden on the global health system. Considerable cardiovascular involvement has been reported among COVID-19 patients with higher ICU admission and mortality rates among patients with cardiovascular comorbidities. Consequently, diagnostic cardiovascular evaluations such as echocardiography are a crucial part of the disease management. On the other hand, providing safety for the patients and the healthcare personnel is a matter of great concern in the pandemic state. In this document, we have provided recommendations on performing echocardiography in hospital echocardiography labs and outpatient echocardiography clinics during the current COVID-19 (Coronavirus disease of 2019) outbreak.


Asunto(s)
Enfermedades Cardiovasculares , Infecciones por Coronavirus , Transmisión de Enfermedad Infecciosa/prevención & control , Ecocardiografía/métodos , Control de Infecciones/organización & administración , Pandemias , Neumonía Viral , Betacoronavirus/aislamiento & purificación , Enfermedades Cardiovasculares/diagnóstico , Enfermedades Cardiovasculares/epidemiología , Comorbilidad , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Humanos , Irán/epidemiología , Pandemias/prevención & control , Selección de Paciente , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Factores de Riesgo
20.
Eur J Intern Med ; 76: 100-101, 2020 06.
Artículo en Inglés | MEDLINE | ID: covidwho-183001
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