Full and simplified assessment of left ventricular diastolic function in covid‐19 patients admitted to ICU: Feasibility, incidence, and association with mortality.
Purpose: Left ventricular diastolic dysfunction (LVDD) is associated with poor outcomes in the intensive care unit (ICU). Nonetheless, precise reporting of LVDD in COVID‐19 patients is currently lacking and assessment could be challenging. Methods: We performed an echocardiography study in COVID‐19...
| Publicado en: | Echocardiography Vol. 39; no. 11; pp. 1391 - 1401 |
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| Autores principales: | , , , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160177855&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160177855 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07422822 GSE jtl: Echocardiography issn: 07422822 maglogo: Y pubinfo: dt: Nov2022 vid: 39 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 160177855 159485914 160177855 160177855 10.1111/echo.15462 160177855 ppf: 1391 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Full and simplified assessment of left ventricular diastolic function in covid‐19 patients admitted to ICU: Feasibility, incidence, and association with mortality. aug: au: La Via, Luigi Dezio, Veronica Santonocito, Cristina Astuto, Marinella Morelli, Andrea Huang, Stephen Vieillard‐Baron, Antoine Sanfilippo, Filippo affil: Department of Anaesthesia and Intensive Care, "Policlinico‐San Marco" University Hospital, Catania, Italy sug: subj: Ventricular Dysfunction, Left Epidemiology Diastolic Pressure COVID-19 Intensive Care Units Ventricular Dysfunction, Left Ultrasonography Hospital Mortality Human Survivors Outcomes (Health Care) Critically Ill Patients Severity of Illness ab: Purpose: Left ventricular diastolic dysfunction (LVDD) is associated with poor outcomes in the intensive care unit (ICU). Nonetheless, precise reporting of LVDD in COVID‐19 patients is currently lacking and assessment could be challenging. Methods: We performed an echocardiography study in COVID‐19 patients admitted to ICU with the aim to describe the feasibility of full or simplified LVDD assessment and its incidence. We also evaluated the association of LVDD or of single echocardiographic parameters with hospital mortality. Results: Between 06.10.2020 and 18.02.2021, full diastolic assessment was feasible in 74% (n = 26/35) of patients receiving a full echocardiogram study. LVDD incidence was 46% (n = 12/26), while the simplified assessment produced different results (incidence 81%, n = 21/26). Nine patients with normal function on full assessment had LVDD with simplified criteria (grade I = 2; grade II = 3; grade III = 4). Nine patients were hospital‐survivors (39%); the incidence of LVDD (full assessment) was not different between survivors (n = 2/9, 22%) and non‐survivors (n = 10/17, 59%; p =.11). The E/e' ratio lateral was lower in survivors (7.4 [3.6] vs. non‐survivors 10.5 [6.3], p =.03). We also found that s' wave was higher in survivors (average, p =.01). Conclusion: In a small single‐center study, assessment of LVDD according to the latest guidelines was feasible in three quarters of COVID‐19 patients. Non‐survivors showed a trend toward greater LVDD incidence; moreover, they had significantly worse s' values (all) and higher E/e' ratio (lateral). pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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