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Echocardiographic Manifestations in COVID-19: A Review
Edgar Francisco Carrizales-Sepúlveda1, Raymundo Vera-Pineda1, Ramiro Flores-Ramírez2
1Cardiology Service, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
Insights
This review summarizes echocardiographic abnormalities in COVID-19 patients, highlighting the cardiovascular impact of SARS-CoV-2. Echocardiography is crucial for assessing cardiac disease in these patients.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Imaging
Background:
- COVID-19, caused by SARS-CoV-2, primarily affects the respiratory system but increasingly shows cardiovascular implications.
- Echocardiography is a vital, cost-effective tool for assessing cardiovascular disease, offering crucial management insights.
- Safety protocols are recommended for echocardiography due to infection and contamination risks, favoring focused assessments with portable equipment.
Purpose of the Study:
- To review and summarize the spectrum of echocardiographic abnormalities observed in patients with COVID-19.
- To discuss the potential underlying mechanisms contributing to these cardiac findings in SARS-CoV-2 infection.
Main Methods:
- Literature review of reported echocardiographic findings in COVID-19 patients.
- Synthesis of data on patterns of cardiac abnormalities identified through echocardiography.
Main Results:
- Multiple reports indicate a wide range of echocardiographic abnormalities in COVID-19 patients.
- Findings suggest significant cardiovascular involvement beyond the primary respiratory effects of SARS-CoV-2.
Conclusions:
- Echocardiography reveals diverse cardiac abnormalities in COVID-19 patients.
- Understanding these findings and their mechanisms is essential for managing cardiovascular complications of SARS-CoV-2 infection.
Abstract:
COVID-19 has rapidly spread around the world and threatened global health. Although this disease mainly affects the respiratory system, there is increasing evidence that SARS-CoV-2 also has effects on the cardiovascular system. Echocardiography is a valuable tool in the assessment of cardiovascular disease. It is cost-effective, widely available and provides information that can influence management. Given the risk of personnel infection and equipment contamination during echocardiography, leading world societies have recommended performing echocardiography only when a clinical benefit is likely, favouring focussed evaluations and using smaller portable equipment. In the past months, multiple reports have described a wide pattern of echocardiographic abnormalities in patients with COVID-19. This review summarises these findings and discusses the possible mechanisms involved.
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