Usefulness of echocardiography to detect cardiac involvement in COVID-19 patients

Matteo Cameli1, Maria Concetta Pastore1, Hatem Soliman Aboumarie2

  • 1Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy.

Insights

Echocardiography can identify and monitor heart damage in patients with COVID-19. This imaging technique helps differentiate between primary cardiac issues and myocardial damage caused by SARS-CoV-2 infection.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • The COVID-19 pandemic, caused by SARS-CoV-2, presents a significant global health challenge.
  • Beyond pulmonary manifestations, COVID-19 can impact multiple organs, including the heart.
  • A notable percentage of COVID-19 patients experience cardiac symptoms and myocardial injury.

Purpose of the Study:

  • To review the applications of transthoracic echocardiography in managing COVID-19 patients with myocardial damage.
  • To highlight echocardiography's role in distinguishing primary cardiac disease from COVID-19-related myocardial injury.
  • To assess echocardiography's utility in monitoring cardiovascular complications associated with COVID-19.

Main Methods:

  • Review of existing literature on echocardiography in COVID-19 patients.
  • Emphasis on safety protocols and personal protective equipment during echocardiographic examinations.
  • Discussion of echocardiography's role in diagnosing and managing specific cardiac complications.

Main Results:

  • Echocardiography aids in differentiating primary cardiac conditions from SARS-CoV-2-induced myocardial damage.
  • The technique is valuable for assessing acute myocarditis, arrhythmias, and heart failure in COVID-19.
  • Echocardiography can evaluate sepsis-induced myocardial impairment and right ventricular failure related to mechanical ventilation.

Conclusions:

  • Transthoracic echocardiography is a crucial tool for the diagnostic and therapeutic management of cardiac complications in COVID-19.
  • Its application supports personalized patient care by guiding treatment strategies for cardiovascular involvement.
  • Ensuring safety protocols allows for the effective use of echocardiography in this patient population.

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