Focused echocardiography in COVID-19: An unusual case of acute right ventricular dysfunction
Non-conventional
in English
| WHO COVID | ID: covidwho-704789
ABSTRACT
BackgroundDuring the novel coronavirus disease 2019 (COVID-19) pandemic, rapid diagnostics have been frequently sought to quickly evaluate a patient?s condition. Lung ultrasound can provide an early glimpse into the disease process and its severity. The addition of focused echocardiography can be particularly helpful in the haemodynamically compromised patient to detect myocardial involvement and alternative diagnoses.CaseWe discuss here a 53-year-old patient who presented to the Emergency Department with hypoxia and hypotension. Bedside focused ultrasound revealed signs of COVID-19 pneumonia with evidence of right ventricular strain, initially thought to be due to massive pulmonary embolism. A computed tomography scan confirmed the findings on ultrasonography, but surprisingly did not demonstrate a pulmonary embolism.ConclusionPoint-of-care ultrasound in COVID-19 aided the diagnosis of affected organs and helped categorise the type of shock in this patient;however, right ventricular dysfunction should be interpreted with caution and may not be due to a pulmonary embolism, as in this case.
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Collection:
Databases of international organizations
Database:
WHO COVID
Type of study:
Experimental Studies
/
Prognostic study
Language:
English
Document Type:
Non-conventional
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