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Echocardiography in Confirmed and Highly Suspected Symptomatic COVID-19 Patients and Its Impact on Treatment Change

Nadia Benyounes1, Clélie Van Der Vynckt1, Séverine Tibi2

  • 1Cardiology Unit, Rothschild Foundation Hospital, Paris, France.

Cardiology Research and Practice
|September 23, 2020
PubMed

Insights

Echocardiography can guide treatment changes in 16% of COVID-19 patients, particularly those with elevated cardiac biomarkers. This cardiac imaging tool aids in managing cardiovascular complications in selected coronavirus disease patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • COVID-19 significantly impacts the cardiovascular system, worsening prognosis for patients with pre-existing heart conditions.
  • The virus can cause severe cardiovascular complications, including myocardial injury in up to 20% of critically ill patients.

Purpose of the Study:

  • To investigate the impact of echocardiography on the clinical management of patients diagnosed with COVID-19.
  • To identify predictors of treatment modification based on echocardiographic findings in COVID-19 patients.

Main Methods:

  • A single-center study included consecutive inpatients with confirmed or suspected COVID-19.
  • Echocardiographic data, clinical characteristics, and biological markers were collected and analyzed.
  • Treatment changes induced by echocardiography were recorded and compared between patient groups.

Main Results:

  • Echocardiography led to treatment changes in 16% of the 42 evaluated COVID-19 patients.
  • Elevated D-dimer and Troponin levels, higher systolic pulmonary arterial pressure, and cardiac thrombi were associated with treatment modifications.
  • Clinical data alone did not predict treatment changes.

Conclusions:

  • Echocardiography is a valuable tool for managing selected COVID-19 patients, especially those with elevated cardiac biomarkers.
  • The findings suggest echocardiography can optimize treatment strategies for COVID-19 patients with cardiovascular involvement.
Abstract

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