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10.1016/j.jcrc.2021.05.010

http://scihub22266oqcxt.onion/10.1016/j.jcrc.2021.05.010
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34082252!8146405!34082252
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suck abstract from ncbi


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pmid34082252      J+Crit+Care 2021 ; 65 (ä): 26-35
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  • COVID-19-related echocardiographic patterns of cardiovascular dysfunction in critically ill patients: A systematic review of the current literature #MMPMID34082252
  • Messina A; Sanfilippo F; Milani A; Calabro L; Negri K; Monge Garcia MI; Astuto M; Vieillard-Baron A; Cecconi M
  • J Crit Care 2021[Oct]; 65 (ä): 26-35 PMID34082252show ga
  • PURPOSE: Coronavirus disease 2019 (COVID-19) infection may trigger a multi-systemic disease involving different organs. There has been growing interest regarding the harmful effects of COVID-19 on the cardiovascular system. This systematic review aims to systematically analyze papers reporting echocardiographic findings in hospitalized COVID-19 subjects. MATERIALS AND METHODS: We included prospective and retrospective studies reporting echocardiography data in >10 hospitalized adult subjects with COVID-19; from 1st February 2020 to 15th January 2021. RESULTS: The primary electronic search identified 1120 articles. Twenty-nine studies were finally included, enrolling 3944 subjects. Overall the studies included a median of 68.0% (45.5-100.0) of patients admitted to ICU. Ten studies (34.4%) were retrospective, and 20 (68.9%) single-centred. Overall enrolling 1367 subjects, three studies reported normal echocardiographic findings in 49 +/- 18% of cases. Seven studies (24.1%) analyzed the association between echocardiographic findings and mortality, mostly related to right ventricular (RV) dysfunction. CONCLUSIONS: Data regarding the use of echocardiography on hospitalized, predominantly ICU, COVID-19 patients were retrieved from studies with heterogeneous designs, variable sample sizes, and severity scores. Normal echocardiographic findings were reported in about 50% of subjects, with LVEF usually not affected. Overall, RV dysfunction seems more likely associated with increased mortality. TRIAL REGISTRATION: CRD42020218439.
  • |*COVID-19[MESH]
  • |*Critical Illness[MESH]
  • |Adult[MESH]
  • |Echocardiography[MESH]
  • |Humans[MESH]
  • |Prospective Studies[MESH]
  • |Retrospective Studies[MESH]


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