Inpatient cardiology consultation for COVID-19: What are cardiologists' diagnostic approaches?
Research in Cardiovascular Medicine
; 11(1):6-12, 2022.
Article
in English
| EMBASE | ID: covidwho-1818466
ABSTRACT
Aim:
Despite concerns about cardiovascular implications in coronavirus disease-2019 (COVID-19) patients, not all COVID-19 patients are visited by cardiologists and recommended to perform comprehensive cardiovascular assessments including measurement of biomarkers and echocardiography. We aimed to investigate the reasons for seeking cardiology care and to assess our cardiologists' diagnostic approaches to COVID-19 patients with potential cardiovascular involvement. Methods andResults:
In this prospective, observational study, data of all consecutive COVID-19 patients admitted to six designated hospitals for COVID-19 in Iran in whom bedside cardiology consultation was requested were collected. A total of 148 patients including 105 (71%) males were included. The mean age was 57 ± 17 years. The most common reasons for cardiology consultation were dyspnea (56.7%), chest pain (12.8%), and suspected arrhythmias (10.8%). The most common comorbidities were hypertension (40.5%), diabetes mellitus (19.6%), and coronary heart disease (18.9%). A 12-lead electrocardiography (ECG) was obtained in all patients. Point-of-care ultrasonography or limited transthoracic echocardiography (TTE) was performed in 106 (71.6%) patients, and complete TTE was performed in 35 (23.4%) patients. Cardiac troponin was measured in 63 (42.6%) patients, and N-terminal pro B-type natriuretic peptide level was measured in 34 (23%) patients. Overall, 51 (34.5%) patients underwent invasive mechanical ventilation, inotropes were used in 29 (19.6%) patients, and 40 (27%) patients died.Conclusions:
While preventing unnecessary investigations, the cardiologists should not overlook the lifesaving role of ubiquitous diagnostic modalities (such as ECG and TTE) in early detection and management of cardiac involvement in COVID-19.
adult; article; cardiologist; cardiology; comorbidity; consultation; controlled study; coronavirus disease 2019; diabetes mellitus; diagnosis; drug therapy; dyspnea; echocardiography; electrocardiography; female; gene expression; heart arrhythmia; hospital patient; human; hypertension; invasive ventilation; Iran; ischemic heart disease; major clinical study; male; middle aged; multicenter study; nonhuman; observational study; point of care ultrasound; prospective study; Severe acute respiratory syndrome coronavirus 2; thorax pain; transthoracic echocardiography; amino terminal pro brain natriuretic peptide; biological marker; endogenous compound; inotropic agent; troponin
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
Research in Cardiovascular Medicine
Year:
2022
Document Type:
Article
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