Spectrum of Echocardiographic Findings in Patients with Severe and Critical COVID-19: A Single Center Experience

Authors

  • Puran Gurung Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Asraf Hussain Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal. https://orcid.org/0000-0001-6218-0500
  • Shyam Raj Regmi Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Bishnu Mani Dhital Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Shovit Thapa Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Shahid Murtuza Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Amir Khan Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Sagar Thapa Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Ashok Shrestha Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Ramgobind Chaudhary Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Rohit Murarka Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
  • Anuradha Pokharel Department of Medicine, College of Medical Sciences, Bharatpur, Chitwan, Nepal.

DOI:

https://doi.org/10.3126/medphoenix.v7i1.46919

Keywords:

COVID-19, Echocardiography, Left ventricular ejection fraction, Right Ventricle assessment

Abstract

Introduction: Information on the cardiac manifestations of coronavirus disease 2019 (COVID-19) is scarce. In this study we assessed the echocardiogram of consecutive patients with COVID-19 infection to assess the frequency of cardiac abnormalities.

Materials and Methods: This retrospective descriptive study examined the echocardiographic study of 43 patients with severe and critical COVID-19 infection admitted at the ICU of Chitwan Medical College from May 16, 2021 to June 05, 2021. The study focused on left ventricle (LV) and right ventricle (RV) function. The results were then compared between severe and critical infections to examine if any differences exist between them.

Results: The mean age of the study population was 54 years and predominately males. One-third were classified as critical COVID-19 while the remaining were severe COVID-19. Majority(83.7%) had a normal echocardiogram. Among the patients with abnormal reports, the distribution of echocardiographic pattern were biventricular dilation with biventricular dysfunction in two patients (4.6%), LV dialtion with LV dysfunction in two patients (4.6%) and isolated LV dysfunction (diastolic and systolic) in three patients (6.9%). None of the echocardiographic parameters were significantly different between the severe and the critical infection.

Conclusion: COVID-19 in primarily a respiratory disease and the cardiac complications is largely attributed to the critical nature of the illness than the specific infection. Considering the risk of infection spread, routine echocardiography for all patients with COVID-19 infection is not advisable.

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Published

2022-08-19

How to Cite

Gurung, P., Hussain, A. ., Regmi, S. R., Dhital, B. M., Thapa, S. ., Murtuza, S., Khan, A. ., Thapa, S., Shrestha, A., Chaudhary, R., Murarka, R., & Pokharel, A. (2022). Spectrum of Echocardiographic Findings in Patients with Severe and Critical COVID-19: A Single Center Experience . Med Phoenix, 7(1), 42–46. https://doi.org/10.3126/medphoenix.v7i1.46919

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Section

Research Articles