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Echocardiographic Features of Cardiac Injury Related to COVID-19 and Their Prognostic Value: A Systematic Review.
Shafiabadi Hassani, Neda; Shojaee, Abbas; Khodaprast, Zeynab; Sepahvandi, Roya; Shahrestanaki, Ehsan; Rastad, Hadith.
  • Shafiabadi Hassani N; Cardiovascular Research Center, 391934Alborz University of Medical Sciences, Karaj, Iran.
  • Shojaee A; Section of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, 12228Yale University School of Medicine, New Haven, CT, USA.
  • Khodaprast Z; Social Determinants of Health Research Center, 391934Alborz University of Medical Sciences, Karaj, Iran.
  • Sepahvandi R; Cardiovascular Research Center, 391934Alborz University of Medical Sciences, Karaj, Iran.
  • Shahrestanaki E; Non-Communicable Diseases Research Center, 391934Alborz University of Medical Sciences, Karaj, Iran.
  • Rastad H; Cardiovascular Research Center, 391934Alborz University of Medical Sciences, Karaj, Iran.
J Intensive Care Med ; 36(4): 500-508, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-992272
ABSTRACT

BACKGROUND:

The available information on the echocardiographic features of cardiac injury related to the novel coronavirus disease 2019 (COVID-19) and their prognostic value are scattered in the different literature. Therefore, the aim of this study was to investigate the echocardiographic features of cardiac injury related to COVID-19 and their prognostic value.

METHODS:

Published studies were identified through searching PubMed, Embase (Elsevier), and Google scholar databases. The search was performed using the different combinations of the keywords "echocard*," "cardiac ultrasound," "TTE," "TEE," "transtho*," or "transeso*" with "COVID-19," "sars-COV-2," "novel corona, or "2019-nCOV." Two researchers independently screened the titles and abstracts and full texts of articles to identify studies that evaluated the echocardiographic features of cardiac injury related to COVID-19 and/or their prognostic values.

RESULTS:

Of 783 articles retrieved from the initial search, 11 (8 cohort and 3 cross-sectional studies) met our eligibility criteria. Rates of echocardiographic abnormalities in COVID-19 patients varied across different studies as follow RV dilatation from 15.0% to 48.9%; RV dysfunction from 3.6% to 40%; and LV dysfunction 5.4% to 40.0%. Overall, the RV abnormalities were more common than LV abnormalities. The majority of the studies showed that there was a significant association between RV abnormalities and the severe forms and death of COVID-19.

CONCLUSION:

The available evidence suggests that RV dilatation and dysfunction may be the most prominent echocardiographic abnormality in symptomatic patients with COVID-19, especially in those with more severe or deteriorating forms of the disease. Also, RV dysfunction should be considered as a poor prognostic factor in COVID-19 patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Echocardiography / Ventricular Dysfunction / SARS-CoV-2 / COVID-19 / Heart Injuries Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: J Intensive Care Med Journal subject: Critical Care Year: 2021 Document Type: Article Affiliation country: 0885066620981015

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Echocardiography / Ventricular Dysfunction / SARS-CoV-2 / COVID-19 / Heart Injuries Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: J Intensive Care Med Journal subject: Critical Care Year: 2021 Document Type: Article Affiliation country: 0885066620981015