{"id":2216,"date":"2024-12-06T05:29:53","date_gmt":"2024-12-06T05:29:53","guid":{"rendered":"https:\/\/suburban-blog.abymtech.com\/?p=2216"},"modified":"2025-03-05T10:21:40","modified_gmt":"2025-03-05T10:21:40","slug":"transthoracic-echocardiography-in-covid-19","status":"publish","type":"post","link":"https:\/\/www.suburbandiagnostics.com\/blog\/transthoracic-echocardiography-in-covid-19\/","title":{"rendered":"Transthoracic Echocardiography in COVID-19"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-2233\" src=\"https:\/\/suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-300x180.webp\" alt=\"\" width=\"1207\" height=\"724\" title=\"\" srcset=\"https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-300x180.webp 300w, https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-768x461.webp 768w, https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19.webp 1000w\" sizes=\"(max-width: 1207px) 100vw, 1207px\" \/><\/p>\n<p style=\"font-weight: 400;\"><a href=\"https:\/\/www.suburbandiagnostics.com\/services\/diagnostics-services\/cardiology\">Echocardiography<\/a> can identify left and right ventricular dysfunction, intracardiac thrombus, high filling pressures, particularly on the right side, as indicated by a distended inferior vena cava that does not collapse with inspiration and elevated right ventricular systolic pressures.<\/p>\n<p style=\"font-weight: 400;\"><b>Indications for transthoracic echocardiography in COVID-19 patients:<\/b><\/p>\n<ul style=\"font-weight: 400;\">\n<li aria-level=\"1\">Those with moderate or severe COVID-19 disease and cardiac troponin or BNP elevation or pre-existing disease combination with high inflammatory markers<\/li>\n<li aria-level=\"1\">Hemodynamic instability, suspicion of left ventricular or right ventricular dysfunction<\/li>\n<li aria-level=\"1\">Pulmonary embolism<\/li>\n<li aria-level=\"1\">Dedicated echocardiography in significantly elevated troponin or ECG abnormalities and\/or concern for congestive heart failure<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><b>Abnormalities observed in COVID-19 patients:<\/b><\/p>\n<ul style=\"font-weight: 400;\">\n<li aria-level=\"1\">Left ventricular dysfunction (diffuse or segmental)<\/li>\n<li aria-level=\"1\">Increased wall thickness (pseudohypertrophy-myocarditis)<\/li>\n<li aria-level=\"1\">Intracardiac thrombosis<\/li>\n<li aria-level=\"1\">Pericardial effusion<\/li>\n<li aria-level=\"1\">Reduced Tricuspid annular plane systolic excursion (TAPSE) and right ventricular function<\/li>\n<li aria-level=\"1\">Elevated right ventricular systolic pressures, Inferior vena cava distension without respiratory variation (not valid for patients in ventilation)<\/li>\n<li aria-level=\"1\">Raised right ventricular filling pressures<\/li>\n<li aria-level=\"1\">Evidence of stress cardiomyopathy<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><b>Significance in COVID-19 patients:<\/b><\/p>\n<p style=\"font-weight: 400;\">Focused echocardiography should be performed <b>ONLY<\/b> in those where management is likely to be influenced.<\/p>\n<ul style=\"font-weight: 400;\">\n<li aria-level=\"1\">Limited studies to address specific clinical questions<\/li>\n<li aria-level=\"1\">Left ventricular hypertrophy and left ventricular dysfunction, and pericardial effusion may indicate myocarditis<\/li>\n<li aria-level=\"1\">Combination of congestion on lung ultrasound with high right ventricular filling pressures may signal imminent cardiovascular decline; consider ICU admission\/intubation<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">\u00a0<b>#unburdenhealthcare with us<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Echocardiography can identify left and right ventricular dysfunction, intracardiac thrombus, high filling pressures, particularly on the right side, as indicated by a distended inferior vena cava that does not collapse with inspiration and elevated right ventricular systolic pressures. Indications for transthoracic echocardiography in COVID-19 patients: Those with moderate or severe COVID-19 disease and cardiac troponin<span class=\"post-excerpt-end\">&hellip;<\/span><\/p>\n<p class=\"more-link\"><a href=\"https:\/\/www.suburbandiagnostics.com\/blog\/transthoracic-echocardiography-in-covid-19\/\" class=\"themebutton\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":2233,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-2216","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-for-doctors"],"blog_post_layout_featured_media_urls":{"thumbnail":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-150x150.webp",150,150,true],"full":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19.webp",1000,600,false]},"categories_names":{"5":{"name":"For Doctors","link":"https:\/\/www.suburbandiagnostics.com\/blog\/for-doctors\/"}},"tags_names":[],"comments_number":"0","rttpg_featured_image_url":{"full":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19.webp",1000,600,false],"landscape":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19.webp",1000,600,false],"portraits":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19.webp",1000,600,false],"thumbnail":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-150x150.webp",150,150,true],"medium":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-300x180.webp",300,180,true],"large":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19.webp",1000,600,false],"1536x1536":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19.webp",1000,600,false],"2048x2048":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19.webp",1000,600,false],"shuttle-column1-1\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-1000x380.webp",1000,380,true],"shuttle-column1-1\/4":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-1000x285.webp",1000,285,true],"shuttle-column2-1\/2":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-570x285.webp",570,285,true],"shuttle-column2-2\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-570x380.webp",570,380,true],"shuttle-column3-1\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-380x107.webp",380,107,true],"shuttle-column3-2\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-380x254.webp",380,254,true],"shuttle-column4-2\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Transthoracic-Echocardiography-in-COVID-19-285x190.webp",285,190,true]},"rttpg_author":{"display_name":"Suburban","author_link":"https:\/\/www.suburbandiagnostics.com\/blog\/author\/suburban\/"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/www.suburbandiagnostics.com\/blog\/for-doctors\/\" rel=\"category tag\">For Doctors<\/a>","rttpg_excerpt":"Echocardiography can identify left and right ventricular dysfunction, intracardiac thrombus, high filling pressures, particularly on the right side, as indicated by a distended inferior vena cava that does not collapse with inspiration and elevated right ventricular systolic pressures. Indications for transthoracic echocardiography in COVID-19 patients: Those with moderate or severe COVID-19 disease and cardiac troponin&hellip;Read&hellip;","_links":{"self":[{"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/posts\/2216","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/comments?post=2216"}],"version-history":[{"count":3,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/posts\/2216\/revisions"}],"predecessor-version":[{"id":4334,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/posts\/2216\/revisions\/4334"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/media\/2233"}],"wp:attachment":[{"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/media?parent=2216"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/categories?post=2216"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/tags?post=2216"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}