Your browser doesn't support javascript.
Heart and Lung Multimodality Imaging in COVID-19.
Agricola, Eustachio; Beneduce, Alessandro; Esposito, Antonio; Ingallina, Giacomo; Palumbo, Diego; Palmisano, Anna; Ancona, Francesco; Baldetti, Luca; Pagnesi, Matteo; Melisurgo, Giulio; Zangrillo, Alberto; De Cobelli, Francesco.
  • Agricola E; Cardiovascular Imaging Unit, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy. Electronic address: agricola.eustachio@hsr.it.
  • Beneduce A; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Interventional Cardiology Unit, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Esposito A; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Experimental Imaging Center, Radiology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Ingallina G; Cardiovascular Imaging Unit, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
  • Palumbo D; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Experimental Imaging Center, Radiology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Palmisano A; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Experimental Imaging Center, Radiology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Ancona F; Cardiovascular Imaging Unit, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
  • Baldetti L; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Cardiac Intensive Care Unit, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Pagnesi M; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Cardiac Intensive Care Unit, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Melisurgo G; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Cardiothoracic Intensive Care Unit, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Zangrillo A; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Anesthesia and Intensive Care Unit, Anesthesia and Intensive Care Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • De Cobelli F; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Experimental Imaging Center, Radiology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
JACC Cardiovasc Imaging ; 13(8): 1792-1808, 2020 08.
Article in English | MEDLINE | ID: covidwho-612980
ABSTRACT
The severe acute respiratory syndrome-coronavirus-2 outbreak has rapidly reached pandemic proportions and has become a major threat to global health. Although the predominant clinical feature of coronavirus disease-2019 (COVID-19) is an acute respiratory syndrome of varying severity, ranging from mild symptomatic interstitial pneumonia to acute respiratory distress syndrome, the cardiovascular system can be involved in several ways. As many as 40% of patients hospitalized with COVID-19 have histories of cardiovascular disease, and current estimates report a proportion of myocardial injury in patients with COVID-19 of up to 12%. Multiple pathways have been suggested to explain this finding and the related clinical scenarios, encompassing local and systemic inflammatory responses and oxygen supply-demand imbalance. From a clinical point of view, cardiac involvement during COVID-19 may present a wide spectrum of severity, ranging from subclinical myocardial injury to well-defined clinical entities (myocarditis, myocardial infarction, pulmonary embolism, and heart failure), whose incidence and prognostic implications are currently largely unknown because of a significant lack of imaging data. Integrated heart and lung multimodality imaging plays a central role in different clinical settings and is essential in the diagnosis, risk stratification, and management of patients with COVID-19. The aims of this review are to summarize imaging-oriented pathophysiological mechanisms of lung and cardiac involvement in COVID-19 and to provide a guide for integrated imaging assessment in these patients.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Multimodal Imaging / Betacoronavirus / Heart / Heart Diseases / Lung Type of study: Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: JACC Cardiovasc Imaging Journal subject: Vascular Diseases / Cardiology / Diagnostic Imaging Year: 2020 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Multimodal Imaging / Betacoronavirus / Heart / Heart Diseases / Lung Type of study: Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: JACC Cardiovasc Imaging Journal subject: Vascular Diseases / Cardiology / Diagnostic Imaging Year: 2020 Document Type: Article