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10.1053/j.jvca.2021.01.025

http://scihub22266oqcxt.onion/10.1053/j.jvca.2021.01.025
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33558133!7832272!33558133
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suck abstract from ncbi


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pmid33558133      J+Cardiothorac+Vasc+Anesth 2021 ; 35 (12): 3594-3603
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  • Usefulness of Right Ventricular Longitudinal Shortening Fraction to Detect Right Ventricular Dysfunction in Acute Cor Pulmonale Related to COVID-19 #MMPMID33558133
  • Beyls C; Bohbot Y; Huette P; Booz T; Daumin C; Abou-Arab O; Mahjoub Y
  • J Cardiothorac Vasc Anesth 2021[Dec]; 35 (12): 3594-3603 PMID33558133show ga
  • OBJECTIVE: To compare two-dimensional-speckle tracking echocardiographic parameters (2D-STE) and classic echocardiographic parameters of right ventricular (RV) systolic function in patients with coronavirus disease 2019 (COVID-19)-related acute respiratory distress syndrome (CARDS) complicated or not by acute cor pulmonale (ACP). DESIGN: Prospective, between March 1, 2020 and April 15, 2020. SETTING: Intensive care unit of Amiens University Hospital (France). PARTICIPANTS: Adult patients with moderate-to-severe CARDS under mechanical ventilation for fewer than 24 hours. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Tricuspid annular displacement (TAD) parameters (TAD-septal, TAD-lateral, and RV longitudinal shortening fraction [RV-LSF]), RV global longitudinal strain (RV-GLS), and RV free wall longitudinal strain (RVFWLS) were measured using transesophageal echocardiography with a dedicated software and compared with classic RV systolic parameters (RV-FAC, S' wave, and tricuspid annular plane systolic excursion [TAPSE]). RV systolic dysfunction was defined as RV-FAC <35%. Twenty-nine consecutive patients with moderate-to-severe CARDS were included. ACP was diagnosed in 12 patients (41%). 2D-STE parameters were markedly altered in the ACP group, and no significant difference was found between patients with and without ACP for classic RV parameters (RV-FAC, S' wave, and TAPSE). In the ACP group, RV-LSF (17% [14%-22%]) had the best correlation with RV-FAC (r?=?0.79, p < 0.001 v r?=?0.27, p?=?0.39 for RVGLS and r?=?0.28, p?=?0.39 for RVFWLS). A RV-LSF cut-off value of 17% had a sensitivity of 80% and a specificity of 86% to identify RV systolic dysfunction. CONCLUSIONS: Classic RV function parameters were not altered by ACP in patients with CARDS, contrary to 2D-STE parameters. RV-LSF seems to be a valuable parameter to detect early RV systolic dysfunction in CARDS patients with ACP.
  • |*COVID-19[MESH]
  • |*Pulmonary Heart Disease/diagnostic imaging/etiology[MESH]
  • |*Ventricular Dysfunction, Right/diagnostic imaging/etiology[MESH]
  • |Adult[MESH]
  • |Humans[MESH]
  • |Prospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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