دورية أكاديمية

Early Serial Echocardiographic and Ultrasonographic Findings in Critically Ill Patients With COVID-19.

التفاصيل البيبلوغرافية
العنوان: Early Serial Echocardiographic and Ultrasonographic Findings in Critically Ill Patients With COVID-19.
المؤلفون: Lanspa MJ; Shock Trauma ICU, Intermountain Medical Center, Salt Lake City, UT., Dugar SP; Cleveland Clinic, Cleveland, OH., Prigmore HL; Vanderbilt Comprehensive Care Clinic, Nashville, TN., Boyd JS; Vanderbilt Health, Vanderbilt University, Nashville, TN., Rupp JD; Vanderbilt Health, Vanderbilt University, Nashville, TN., Lindsell CJ; Vanderbilt Comprehensive Care Clinic, Nashville, TN., Rice TW; Vanderbilt Comprehensive Care Clinic, Nashville, TN., Qadir N; University of California, Los Angeles, Los Angeles, CA., Lim GW; University of California, Los Angeles, Los Angeles, CA., Shiloh AL; Montefiore Medical Center, New York, NY., Dieiev V; Montefiore Medical Center, New York, NY., Gong MN; Montefiore Medical Center, New York, NY., Fox SW; Cleveland Clinic, Cleveland, OH., Hirshberg EL; Shock Trauma ICU, Intermountain Medical Center, Salt Lake City, UT., Khan A; Oregon Health and Science University, Portland, OR., Kornfield J; Oregon Health and Science University, Portland, OR., Schoeneck JH; Wake Forest University, Winston-Salem, NC., Macklin N; Wake Forest University, Winston-Salem, NC., Files DC; Wake Forest University, Winston-Salem, NC., Gibbs KW; Wake Forest University, Winston-Salem, NC., Prekker ME; Hennepin County Medical Center, Minneapolis, MN., Parsons-Moss D; Hennepin County Medical Center, Minneapolis, MN., Bown M; Shock Trauma ICU, Intermountain Medical Center, Salt Lake City, UT., Olsen TD; Shock Trauma ICU, Intermountain Medical Center, Salt Lake City, UT., Knox DB; Shock Trauma ICU, Intermountain Medical Center, Salt Lake City, UT., Cirulis MM; Shock Trauma ICU, Intermountain Medical Center, Salt Lake City, UT., Mehkri O; Cleveland Clinic, Cleveland, OH., Duggal A; Cleveland Clinic, Cleveland, OH., Tenforde MW; Centers for Disease Control and Prevention, Atlanta, GA., Patel MM; Centers for Disease Control and Prevention, Atlanta, GA., Self WH; Vanderbilt Comprehensive Care Clinic, Nashville, TN., Brown SM; Shock Trauma ICU, Intermountain Medical Center, Salt Lake City, UT.
مؤلفون مشاركون: Influenza and Other Viruses in the Acutely Ill Network
المصدر: CHEST critical care [CHEST Crit Care] 2023 Jun; Vol. 1 (1), pp. 100002. Date of Electronic Publication: 2023 Mar 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier, Inc Country of Publication: United States NLM ID: 9918681585806676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2949-7884 (Electronic) Linking ISSN: 29497884 NLM ISO Abbreviation: CHEST Crit Care Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [New York] : Elsevier, Inc., [2023]-
مستخلص: Background: Cardiac function of critically ill patients with COVID-19 generally has been reported from clinically obtained data. Echocardiographic deformation imaging can identify ventricular dysfunction missed by traditional echocardiographic assessment.
Research Question: What is the prevalence of ventricular dysfunction and what are its implications for the natural history of critical COVID-19?
Study Design and Methods: This is a multicenter prospective cohort of critically ill patients with COVID-19. We performed serial echocardiography and lower extremity vascular ultrasound on hospitalization days 1, 3, and 8. We defined left ventricular (LV) dysfunction as the absolute value of longitudinal strain of < 17% or left ventricle ejection fraction (LVEF) of < 50%. Primary clinical outcome was inpatient survival.
Results: We enrolled 110 patients. Thirty-nine (35.5%) died before hospital discharge. LV dysfunction was present at admission in 38 patients (34.5%) and in 21 patients (36.2%) on day 8 ( P  = .59). Median baseline LVEF was 62% (interquartile range [IQR], 52%-69%), whereas median absolute value of baseline LV strain was 16% (IQR, 14%-19%). Survivors and nonsurvivors did not differ statistically significantly with respect to day 1 LV strain (17.9% vs 14.4%; P  = .12) or day 1 LVEF (60.5% vs 65%; P  = .06). Nonsurvivors showed worse day 1 right ventricle (RV) strain than survivors (16.3% vs 21.2%; P  = .04).
Interpretation: Among patients with critical COVID-19, LV and RV dysfunction is common, frequently identified only through deformation imaging, and early (day 1) RV dysfunction may be associated with clinical outcome.
(© 2023 The Authors.)
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فهرسة مساهمة: Investigator: N Calhoun; J Herrick; E Hoffman; A McKillop; K Murthy; M Smith; M Zayed; L De Souza; R Kindle; LA Kozikowski; S Ouellette; S Thornton-Thompson; M Bolstad; R Ciottone; B Coviello; A Devilla; A Grafals; C Higgins; C Ottanelli; K Redman; D Scaffidi; A Weingart; N Lewis; S Olson; K Ashok; C Brennan; O Mehkri; M Mitchell; B Poynter; N Stanley; CT Lohuis; S Caspers; H Erikson; A Hendrickson; O Kaus; E Maruggi; T Scharber; W Tordsen; V Aston; R Bowers; J Jorgensen; J King; H Ali; RE Rothman; R Nair; JT Chen; S Karow; E Robart; PN Maldonado; M Khan; P So; E Schwartz; M So; M Weigand; A Luong; J Martinez; B Huynh; H Ibrahim; C Villanueva-Vargas; H Jung; J Villanueva-Vargas; S Quadri; AJ Gordon; J Levitt; C Perez; A Visweswaran; J Roque; A Rivera; T Frankel; J Goff; D Huynh; K Jensen; C Driver; I Chambers; P Nassar; L Stout; Z Sibenaller; A Walter; J Mares; L Olson; B Clinansmith; H Gershengorn; C Rivas; EJ McSpadden; R Truscon; A Kaniclides; L Thomas; R Bielak; WD Valvano; R Fong; WJ Fitzsimmons; C Blair; A Valesano; L Baker; J Gilbert; CD Crider; KA Steinbock; TC Paulson; LA Anderson; C Kampe; J Johnson; LL Short; LJ Ezzell; ME Whitsett; RE McHenry; SJ Hargrave; M Blair; JL Luther; CG Pulido; BP Peterson; M LaRose; L Landreth; M Hicks; L Parks; J Bongu; D McDonald; C Cass; S Seiler; D Park; T Hink; M Wallace; CA Burnham; OG Arter
Keywords: COVID-19; echocardiography; point-of-care ultrasound; strain; ultrasound
تواريخ الأحداث: Date Created: 20231128 Latest Revision: 20231129
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10030437
DOI: 10.1016/j.chstcc.2023.100002
PMID: 38014378
قاعدة البيانات: MEDLINE
الوصف
تدمد:2949-7884
DOI:10.1016/j.chstcc.2023.100002