Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumonia

Abstract 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 pneumo...

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Main Authors: Jing Han, Xi Yang, Wei Xu, Ronghua Jin, Weiyuan Liu, Lei Ding, Sha Meng, Yuan Zhang, Jin Li, Ying Zheng, Haowen Li, Fankun Meng
Format: Article
Language:English
Published: BMC 2022-01-01
Series:Cardiovascular Ultrasound
Subjects:
Online Access:https://doi.org/10.1186/s12947-021-00271-0
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author Jing Han
Xi Yang
Wei Xu
Ronghua Jin
Weiyuan Liu
Lei Ding
Sha Meng
Yuan Zhang
Jin Li
Ying Zheng
Haowen Li
Fankun Meng
author_facet Jing Han
Xi Yang
Wei Xu
Ronghua Jin
Weiyuan Liu
Lei Ding
Sha Meng
Yuan Zhang
Jin Li
Ying Zheng
Haowen Li
Fankun Meng
author_sort Jing Han
collection DOAJ
description Abstract 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.
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spelling doaj.art-1e34f7b2da3347a69d27048a33b34c542022-12-21T23:43:29ZengBMCCardiovascular Ultrasound1476-71202022-01-012011710.1186/s12947-021-00271-0Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumoniaJing Han0Xi Yang1Wei Xu2Ronghua Jin3Weiyuan Liu4Lei Ding5Sha Meng6Yuan Zhang7Jin Li8Ying Zheng9Haowen Li10Fankun Meng11Ultrasound and Functional Diagnosis Center, Beijing You An Hospital, Capital Medical UniversityDepartment of ultrasound, Hanyang Hospital Affiliated to Wuhan University of science and technologyKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Hepato-Pancreato-Biliary Surgery, Peking University Cancer Hospital & InstituteBeijing You An Hospital, Capital Medical UniversityUltrasound and Functional Diagnosis Center, Beijing You An Hospital, Capital Medical UniversityUltrasound and Functional Diagnosis Center, Beijing You An Hospital, Capital Medical UniversityDepartment of Science and Technology Department, Beijing You An Hospital, Capital Medical UniversityUltrasound and Functional Diagnosis Center, Beijing You An Hospital, Capital Medical UniversityDepartment of Ultrasound, Beijing Hospital of Chinese Traditional and Western MedicineUltrasound and Functional Diagnosis Center, Beijing You An Hospital, Capital Medical UniversityUltrasonography, China Aerospace Science & Industry Corporation 731 HospitalUltrasound and Functional Diagnosis Center, Beijing You An Hospital, Capital Medical UniversityAbstract 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.https://doi.org/10.1186/s12947-021-00271-0EchocardiographyLung ultrasound scoreCOVID-19Pulmonary arterial pressure
spellingShingle Jing Han
Xi Yang
Wei Xu
Ronghua Jin
Weiyuan Liu
Lei Ding
Sha Meng
Yuan Zhang
Jin Li
Ying Zheng
Haowen Li
Fankun Meng
Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumonia
Cardiovascular Ultrasound
Echocardiography
Lung ultrasound score
COVID-19
Pulmonary arterial pressure
title Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumonia
title_full Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumonia
title_fullStr Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumonia
title_full_unstemmed Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumonia
title_short Pilot study on the value of echocardiography combined with lung ultrasound to evaluate COVID-19 pneumonia
title_sort pilot study on the value of echocardiography combined with lung ultrasound to evaluate covid 19 pneumonia
topic Echocardiography
Lung ultrasound score
COVID-19
Pulmonary arterial pressure
url https://doi.org/10.1186/s12947-021-00271-0
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