scholarly journals Cardiovascular imaging in the acute phase of coronavirus disease 2019 (COVID-19)

2021 ◽  
Vol 90 (3) ◽  
pp. e532
Author(s):  
Wioletta Sacharczuk ◽  
Rafał Dankowski ◽  
Anna Marciniak ◽  
Anna Szałek-Goralewska ◽  
Andrzej Szyszka
Keyword(s):  
Heart Failure ◽  
Mechanical Ventilation ◽  
Pulmonary Embolism ◽  
Acute Phase ◽  
Respiratory Symptoms ◽  
Cardiovascular Imaging ◽  
Right Ventricular Failure ◽  
Ventricular Failure ◽  
Critical Characteristic ◽  
Imaging Algorithms

The coronavirus disease 2019 (COVID-19) has become the most critical healthcare issue worldwide since the pandemic was announced in March 2020. Although respiratory symptoms remain the critical characteristic feature of COVID-19 (with acute respiratory syndrome as the leading cause of mortality), the disease also affects other organs. In fact, the involvement of the cardiovascular system during COVID-19 may include acute coronary symptoms, acute heart failure and myocarditis, arrhythmias, cardiac tamponade, pulmonary embolism, and right ventricular failure due to a high-pressure mechanical ventilation. It is vital to note that all of the abovementioned disorders require specific, pandemic-adapted imaging algorithms. This brief review aims to discuss different cardiac imaging modalities to demonstrate their effectiveness in managing patients in the acute phase of COVID-19.

Pulmonary embolism

2021 ◽  
pp. 849-860
Author(s):  
Stavros Konstantinides ◽  
Marcin Kurzyna ◽  
Adam Torbicki
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Clinical Presentation ◽  
Right Ventricular Dysfunction ◽  
Reperfusion Therapy ◽  
Early Recurrence ◽  
Right Ventricular Failure ◽  
Ventricular Failure ◽  
Vein Thrombosis ◽  
Tomographic Angiography

Pulmonary embolism is usually a consequence of deep vein thrombosis, and together the two conditions are known as venous thromboembolism. Non-thromboembolic causes of pulmonary embolism are rare. Pulmonary thromboembolism is a potentially life-threatening disease, if left untreated. This is due to a natural tendency towards early recurrence of pulmonary emboli which may lead to fatal right ventricular failure. In more severe cases, secondary right ventricular failure may result from myocardial ischaemia and injury caused by systemic hypotension and adrenergic overstimulation. Clinical presentation of pulmonary embolism is non-specific and may include dyspnoea, chest pain, haemoptysis, syncope, hypotension, and shock. Patients with suggestive history, symptoms, and signs require an immediate triage which determines further management strategy. Computerized tomographic angiography has become the mainstay of diagnosis. However, depending on the clinical presentation, treatment decisions may also be made based on results of other tests. In particular, in high-risk patients with persistent hypotension or shock, bedside echocardiography may be the only available test to identify patients in need of primary thrombolysis, surgical embolectomy, or percutaneous intervention which will stabilize the systemic cardiac output. For most normotensive patients, anticoagulation is sufficient as initial treatment. However, in the presence of signs of right ventricular dysfunction and myocardial injury monitoring is recommended to allow prompt rescue reperfusion therapy in case of haemodynamic decompensation.

scholarly journals RIGHT VENTRICULAR FAILURE IS DIASTOLIC HEART FAILURE AND IS NOT CAUSED BY HYPERTROPHY OR FIBROSIS

2013 ◽  
Vol 61 (10) ◽  
pp. E453
Author(s):  
Marinus Alexander Borgdorff ◽  
Beatrijs Bartelds ◽  
Michael Dickinson ◽  
Paul Steendijk ◽  
Maartje de Vroomen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Right Ventricular ◽  
Diastolic Heart Failure ◽  
Right Ventricular Failure ◽  
Ventricular Failure

scholarly journals Impella RP Support and Catheter-Directed Thrombolysis to Treat Right Ventricular Failure Caused by Pulmonary Embolism in 2 Patients

2018 ◽  
Vol 45 (3) ◽  
pp. 182-185 ◽  
Author(s):  
Mohamed Shokr ◽  
Ahmed Rashed ◽  
Ashraf Mostafa ◽  
Tamam Mohamad ◽  
Theodore Schreiber ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Massive Pulmonary Embolism ◽  
Left Ventricular ◽  
Right Ventricular Failure ◽  
Circulatory Support ◽  
Ventricular Failure ◽  
Ventricular Assist ◽  
Device Implantation ◽  
Catheter Directed Thrombolysis

Right ventricular failure secondary to pulmonary embolism is associated with morbidity and death. The Impella RP System has often been used for percutaneous mechanical circulatory support in patients with right ventricular failure from other causes, including myocardial infarction, cardiac surgery, and left ventricular assist device implantation. We report 2 cases of massive pulmonary embolism in which combined Impella RP use and ultrasound-assisted catheter-directed thrombolysis effectively treated shock caused by right ventricular failure and contributed to successful outcomes. To our knowledge, only one other patient with this indication had been treated with the Impella RP device.

Case Report: Nonarrhythmogenic Right Ventricular Dysplasia Presenting with Severe Right Ventricular Failure in an Adolescent

2010 ◽  
Vol 13 (1) ◽  
pp. 21
Author(s):  
Mustafa Pac ◽  
Aysenur Pac ◽  
Tugcin Bora Polat ◽  
Sevket Balli ◽  
Nesrin Turhan ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ventricular Arrhythmia ◽  
Right Ventricular ◽  
Right Heart Failure ◽  
Right Ventricular Failure ◽  
Orthotopic Heart Transplantation ◽  
Ventricular Failure ◽  
Right Heart ◽  
Right Ventricular Dysplasia ◽  
The Right

Right ventricular dysplasia is usually discovered by the presence of ventricular arrhythmia. As arrhythmia is an epiphenomenon, the first presentation of some cases can be primarily heart failure. We describe an adolescent girl who presented with progressive right heart failure and whose hallmark was fibrofatty replacement of ventricular muscle, especially of the right side, without ventricular arrhythmia. The patient was successfully treated by orthotopic heart transplantation.

Experience With Serelaksin for Acute Right Ventricular Failure due to Pulmonary Embolism in Acute Ischemic Stroke

Kardiologiia ◽  
2016 ◽  
Vol 2_2016 ◽  
pp. 68-72
Author(s):  
L.A. Shpagina Shpagina ◽  
T.N. Surovenko Surovenko ◽  
L.A. Panacheva Panacheva ◽  
E.M. Loktin Loktin ◽  
V.N. Kohno Kohno ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Ischemic Stroke ◽  
Right Ventricular ◽  
Acute Ischemic Stroke ◽  
Right Ventricular Failure ◽  
Ventricular Failure ◽  
Acute Right Ventricular Failure
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