Jing Han, Xi Yang, Wei Xu, Ronghua Jin, Weiyuan Liu, Lei Ding, Sha Meng, Yuan Zhang, Jin Li, Ying Zheng, Haowen Li, Fankun Meng
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引用次数: 0
摘要
背景:本研究旨在探讨2019冠状病毒病(COVID-19)肺炎患者超声心动图结果与肺超声评分(LUS)的关系,并评价这两项技术联合应用在评估COVID-19肺炎中的影响。方法:纳入每日行肺部超声及超声心动图检查的住院COVID-19肺炎患者。入院3天内出现三尖瓣反流的患者纳入研究。分析患者肺动脉压(PAP)与LUS在第3、8、13天的相关性及差异。肺动脉根的内径以及心房和心室的大小也被考虑在内。结果:住院第3、8、13天PAP与LUS呈正相关(r = 0.448, p = 0.003;结论:PAP与COVID-19肺炎LUS呈正相关。这两个值可以结合起来更精确地评估疾病进展和恢复状态。
Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumonia.
Background: This study aimed to investigate the relationship between echocardiography results and lung ultrasound score (LUS) in coronavirus disease 2019 (COVID-19) pneumonia patients and evaluate the impact of the combined application of these techniques in the evaluation of COVID-19 pneumonia.
Methods: Hospitalized COVID-19 pneumonia patients who underwent daily lung ultrasound and echocardiography were included in this study. Patients with tricuspid regurgitation within three days of admission were enrolled. Moreover, the correlation and differences between their pulmonary artery pressure (PAP) and LUS on days 3, 8, and 13 were analyzed. The inner diameter of the pulmonary artery root as well as the size of the atria and ventricles were also considered.
Results: The PAP on days 3, 8, and 13 of hospitalization was positively correlated with the LUS (r = 0.448, p = 0.003; r = 0.738, p < 0.001; r = 0.325, p = 0.036, respectively). On day 8, the values of both PAP and LUS were higher than on days 3 and 13 (p < 0.01). Similarly, PAP and LUS were significantly increased in 92.9% (39/42) and 90.5% (38/42) of patients, respectively, and at least one of these two values was positive in 97.6% (41/42) of cases. The inner diameters of the right atrium, right ventricle, and pulmonary artery also differed significantly from their corresponding values on days 3 and 13 (p < 0.05).
Conclusions: PAP is positively correlated with LUS in COVID-19 pneumonia. The two values could be combined for a more precise assessment of disease progression and recovery status.
期刊介绍:
Cardiovascular Ultrasound is an online journal, publishing peer-reviewed: original research; authoritative reviews; case reports on challenging and/or unusual diagnostic aspects; and expert opinions on new techniques and technologies. We are particularly interested in articles that include relevant images or video files, which provide an additional dimension to published articles and enhance understanding.
As an open access journal, Cardiovascular Ultrasound ensures high visibility for authors in addition to providing an up-to-date and freely available resource for the community. The journal welcomes discussion, and provides a forum for publishing opinion and debate ranging from biology to engineering to clinical echocardiography, with both speed and versatility.