Transthoracic echocardiographic findings in patients admitted with SARS‐CoV‐2 infection Article Swipe
Jason P. Schott
,
Amy Mertens
,
Richard Bloomingdale
,
Thomas F. O’Connell
,
Michael J. Gallagher
,
Simon Dixon
,
Amr E. Abbas
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/echo.14835
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/echo.14835
Introduction Severe acute respiratory syndrome coronavirus‐2 (SARS‐CoV‐2)–infected patients commonly have elevated troponin and D‐dimer levels, but limited imaging exists to support most likely etiologies in efforts to avoid staff exposure. The purpose of this study was to report transthoracic echocardiographic (TTE) findings in SARS‐CoV‐2 patients with correlating troponin and D‐dimer levels. Methods We identified 66 SARS‐CoV‐2 patients (mean age 60 ± 15.7 years) admitted within a large, eight‐hospital healthcare system over a 6‐week period with a TTE performed. TTE readers were blinded to laboratory data with intra‐observer and inter‐observer analysis assessed. Results Sixty‐six of 1780 SARS‐CoV‐2 patients were included and represented a high‐risk population as 38 (57.6%) were ICU‐admitted, 47 (71.2%) had elevated D‐dimer, 41 (62.1%) had elevated troponin, and 25 (37.9%) died. Right ventricular (RV) dilation was present in 49 (74.2%) patients. The incidence and average D‐dimer elevation was similar between moderate/severe vs. mild/no RV dilation (69.6% vs 67.6%, P = 1.0; 3736 ± 2986 vs 4141 ± 3351 ng/mL, P = .679). Increased left ventricular (LV) wall thickness was present in 46 (69.7%) with similar incidence of elevated troponin and average troponin levels compared to normal wall thickness (66.7% vs 52.4%, P = .231; 0.88 ± 1.9 vs 1.36 ± 2.4 ng/mL, P = .772). LV dilation was rare (n = 6, 9.1%), as was newly reduced LV ejection fraction (n = 2, 3.0%). Conclusion TTE in SARS‐CoV‐2 patients is scarce, technically difficult, and reserved for high‐risk patients. RV dilation is common in SARS‐CoV‐2 but does not correlate with elevated D‐dimer levels. Increased LV wall thickness is common, while newly reduced LV ejection fraction is rare, and neither correlates with troponin levels.
Related Topics
Concepts
Medicine
Internal medicine
Troponin
Ejection fraction
Cardiology
Incidence (geometry)
D-dimer
Troponin T
Coronavirus disease 2019 (COVID-19)
Etiology
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Troponin I
Heart failure
Myocardial infarction
Infectious disease (medical specialty)
Physics
Optics
Disease
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/echo.14835
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/echo.14835
- OA Status
- bronze
- Cited By
- 32
- References
- 11
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3087262629
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3087262629Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/echo.14835Digital Object Identifier
- Title
-
Transthoracic echocardiographic findings in patients admitted with SARS‐CoV‐2 infectionWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-09-19Full publication date if available
- Authors
-
Jason P. Schott, Amy Mertens, Richard Bloomingdale, Thomas F. O’Connell, Michael J. Gallagher, Simon Dixon, Amr E. AbbasList of authors in order
- Landing page
-
https://doi.org/10.1111/echo.14835Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/echo.14835Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/echo.14835Direct OA link when available
- Concepts
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Medicine, Internal medicine, Troponin, Ejection fraction, Cardiology, Incidence (geometry), D-dimer, Troponin T, Coronavirus disease 2019 (COVID-19), Etiology, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Troponin I, Heart failure, Myocardial infarction, Infectious disease (medical specialty), Physics, Optics, DiseaseTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
32Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2023: 4, 2022: 11, 2021: 16Per-year citation counts (last 5 years)
- References (count)
-
11Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| cited_by_percentile_year.min | 91 |
| corresponding_author_ids | https://openalex.org/A5064866815 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 7 |
| corresponding_institution_ids | https://openalex.org/I177721651, https://openalex.org/I4210128757 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8399999737739563 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.84640877 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |