Echocardiography and Multimodality Cardiac Imaging in COVID-19 Patients

Alberto Cresti, Agata Barchitta, Andrea Barbieri, Ines Monte, Giuseppe Trocino, Quirino Ciampi, Sofia Miceli, Licia Petrella, Emilija Jaric, Marco Solari, Cristina Basso, Mauro Pepi, Francesco Antonini-Canterin

Research output: Contribution to journalReview articlepeer-review

Abstract

The pandemic caused by the new SARS-CoV-2, named coronavirus disease 2019 (COVID-19) disease, has challenged the health-care systems and raised new diagnostic pathways and safety issues for cardiac imagers. Myocardial injury may complicate COVID-19 infection in more than a quarter of patients and due to the wide a range of possible insults, cardiac imaging plays a crucial diagnostic and prognostic role. There is still little evidence regarding the best-imaging pathway and the echocardiographic findings. Most of the data derive from the single centers experiences and case-reports; therefore, our review reflects the recommendations mainly based on expert opinion. Moreover, knowledge is constantly evolving. The health-care system and physicians are called to reorganize the diagnostic pathways to minimize the possibility of spreading the infection. Thus a rapid, bedside, ultrasound assessment of the heart, chest, and leg veins by point-of-care ultrasound seems to be the first-line tool of the fight against the SARS-CoV-2. A second Level of cardiac imaging is appropriate when the result may guide decision-making or may be life-saving. Dedicated scanners should be used and special pathways should be reserved for these patients. The current knowledge on cardiac imaging COVID-19 patients is reviewed.

Original languageEnglish
Pages (from-to)S18-S24
JournalJournal of Cardiovascular Echography
Volume30
Issue number6
DOIs
Publication statusPublished - Oct 1 2020

Keywords

  • COVID-19
  • echocardiography
  • imaging
  • multimodality
  • pandemic
  • SARS-CoV-2

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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