Related Experiment Video
Updated: Oct 22, 2025
Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Association of echocardiographic parameters with chest computed tomography score in patients with COVID-19 disease
Faysal Saylik1, Tayyar Akbulut1, Mustafa Oguz1
1Department of Cardiology, Van Education and Research Hospital, Van, Turkey.
Insights
Echocardiographic measures correlate with lung damage severity in COVID-19 patients. Higher lung imaging scores indicate more heart involvement and predict mortality, highlighting echocardiography
Area of Science:
- Cardiology
- Pulmonology
- Radiology
Background:
- Coronavirus disease 2019 (COVID-19) is known for pulmonary complications but also cardiac involvement.
- Pulmonary CT scans aid in diagnosing and predicting COVID-19 outcomes.
- Cardiac function assessment via echocardiography is crucial in managing COVID-19 patients.
Purpose of the Study:
- To investigate the relationship between echocardiographic indices and pulmonary CT scores in COVID-19 patients.
- To determine if echocardiographic findings predict mortality in COVID-19 patients.
- To explore the association between cardiac involvement and lung disease severity.
Main Methods:
- 123 COVID-19 patients were analyzed.
- Echocardiographic parameters and British Society of Thoracic Imaging (BSTI) scores were calculated.
- Echocardiographic indices were compared across different BSTI score grades.
Main Results:
- Non-survivors exhibited higher BSTI scores and specific echocardiographic abnormalities (e.g., elevated RV dimensions, sPAP, RVMPI; reduced RVFAC, TAPSE).
- BSTI scores correlated with several echocardiographic indices, including sPAP and RV basal diameter.
- Pulmonary CT scores, sPAP, and RV basal diameter independently predicted high BSTI scores.
- Age, sPAP, and high BSTI scores independently predicted in-hospital mortality.
Conclusions:
- Echocardiographic findings are significantly correlated with pulmonary CT scores in COVID-19.
- Elevated BSTI scores suggest greater cardiac involvement in COVID-19 patients.
- Echocardiography can help identify COVID-19 patients at higher risk of mortality.
Purpose:
Although coronavirus disease 2019 (COVID-19) primarily affects the pulmonary system, the involvement of the heart has become a well-known issue. Pulmonary CT plays an additive role in the diagnosis and prognosis of the disease. We aimed to investigate the association of echocardiographic indices with pulmonary CT scores and mortality in COVID-19 patients.
Materials And Methods:
A total of 123 patients diagnosed with COVID-19 were included in this study. The British Society of Thoracic Imaging (BSTI) score and echocardiographic parameters were calculated, and echocardiographic indices were compared between BSTI score grades.
Results:
During in-hospital follow-up, 36 of 123 patients (29.3%) had died. BSTI score, IVS, LVPWd, RV mid-diameter, RV basal diameter, RV longitudinal diameter, sPAP, and RVMPI were higher, and RVFAC, TAPSE, and RVS were lower in the non-survivor group than in the survivor group. There were statistically significant changes between BSTI scores in terms of LVPWd, RV mid diameter, RV basal diameter, RV longitudinal diameter, sPAP, RVFAC, RVMPI, and TAPSE. BSTI score was positively correlated with sPAP and RV basal diameter and negatively correlated with TAPSE and RVFAC. Multivariate logistic regression analysis demonstrated that sPAP (OR = 1.071, p = 0.002) and RV basal diameter (OR = 1.184, p = 0.005) were independent predictors of high BSTI scores (grade 4 and 5). Furthermore, age, sPAP, and a high BSTI score (grade 5) were independent predictors of in-hospital mortality in COVID-19 patients.
Conclusion:
Echocardiographic indices were correlated with BSTI scores, and patients with higher BSTI scores had more cardiac involvement in COVID-19.
More Related Videos
06:57Author Spotlight: Advancing Cardiovascular Imaging - Introducing the Spatially Weighted Calcium Score for Early Disease Detection
Published on: September 22, 2023
08:05Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
Related Concept Videos
01:25Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
01:30Acute Coronary Syndrome III: Diagnostic Studies
01:17Imaging Studies for Cardiovascular System I:Echocardiography
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
01:28Imaging Studies for Cardiovascular System V: CT
01:20Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
01:20Imaging Studies for Cardiovascular System II:Types of Echocardiography
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...