2020, Number 4
<< Back
Cardiovasc Metab Sci 2020; 31 (4)
Implementation of a new echocardiographic practice during the COVID-19 pandemic
López-Rincón M, Guzmán-Ramírez D, Hernández-Hernández JM, Farías-Vergara S, Sahagún-Sánchez G
Language: English
References: 24
Page: 145-155
PDF size: 296.67 Kb.
ABSTRACT
Due to the COVID-19 (SARS-CoV-2) pandemic, healthcare logistics have changed abruptly and significantly in all medical specialties, of which cardiovascular services are no exception. Assessment of urgent and priority cases did not stop, both medical personnel and patients required adaptation of personal protective measures to prevent the spread of a highly contagious and potentially fatal virus for this vulnerable population with cardiovascular disease. In the time that has elapsed since the beginning of said pandemic to date, the health sector has become immersed in a fortuitous and challenging situation for its work environment. Considering that this virus could remain endemic, it is necessary to devise a protocol for a gradual and safe reincorporation of services at all levels of care. This document provides an update on recommendations for the return to a safe but no less efficient echocardiographic practice, based on expert opinions, some international guidelines along with evidence available until recently on several main echocardiographic findings in patients with cardiovascular disease by COVID-19, providing a general approach that can be adapted to the guidelines of each health institution in this country.
REFERENCES
Rapid Expert Consultation on the Possibility of Bioaerosol Spread of SARS-CoV-2 for the COVID-19 Pandemic. National Research Council, Washington DC: The National Academic Press (April 1, 2020) https://doi.org/10.17226/25769.
Skulsad H, Cosyns B, Popescu BA et al. COVID-19 Pandemic and Cardiac imaging: EACVI recommendations on precautions, indications, prioritization, and protection for patients and healthcare personnel. Eur Heart J Cardiovascular Imaging. 2020; 21: 592-598.
ASE statement on protection and patients and echocardiography service providers during the 2019 novel coronavirus outbreak. J Am Soc Echocardiogr. 2020; 33 (6): 648-653. Available in: https://www.asecho.org/ase-statement-covid-19/.
Proceso de prevención de infecciones para las personas con Covid-19 (Enfermedad por SARS-CoV-2) Contactos y Personal de Salud del Gobierno de México. Disponible en: https://coved.imss.gob.mx/proceso-de-prevención-de-infecciones-para-las-personas-con-covid-19.
Recomendaciones para la realización de estudios de imagen cardiaca durante el brote de coronavirus COVID-19. Asociación Española de Imagen Cardiaca.2020: Disponible en: https://secardiologia.es/imagen/formación/documentos.
García FM, Cabrera SM, Azcárate AP. Documento sobre el uso de Ecocardiografía en pacientes COVID-19, Recomendaciones de la Sociedad Española de Imagen Cardiaca. [17 marzo 2020] Disponible en: https://ecocardio.com/documentos/covid-19.
García FM, Azcárate AP, Cabrera SM et al. Actualización de las Recomendaciones sobre la Logística de uso de la Ecocardiografía durante la Pandemia de COVID-19. Recomendaciones de la Sociedad Española de Imagen Cardiaca (SEIC) 2 mayo 2020. Disponible en: https://ecocardio.com/documentos/covid-19.
Nicoara A, Maldonado Y, Kort S et al. Specific considerations for the protection of patients and echocardiography service providers when performing perioperative or periprocedural transesophageal echocardiography during the 2019 novel coronavirus outbreak: Council on perioperative echocardiography supplement to the statement of the American Society of Echocardiography. Endorsed by the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2020; 33 (6): 666-669. Available in: https://www.onlinejase.com/article/S0894-7317(20)30219-4/fulltext.
Primeras recomendaciones SISIAC sobre pandemia COVID- 19 y posible impacto en el funcionamiento de los laboratorios de ecocardiografía. SISIAC BOARD 2020. Disponible en: www.siacardio.org/consejos/editoriales-sisiac.
Lowenstein JA, Spina S. Recomendaciones de Eco de estrés y en tiempos de pandemia COVID-19. Sociedad de Imágenes Cardiovasculares de la Sociedad Interamericana de Cardiología (SISIAC). 2020. Disponible en: http://www.ecosiac.org.
Hung J, Abraham TP, Cohen MS et al. ASE statement on the reintroduction of echocardiography services during the COVID-19 pandemic. J Am Society of Echocardiography. 2020. Available in: http://doi.org/1.1016/j.echo.2020.05.019.
Garofalo P, Albisu JP, Solano Benítez S, et al. Recomendaciones del Comité de Ecocardiografía e Imágenes Cardiacas para la protección de pacientes y el personal de salud durante la pandemia COVID-19. Rev Fed Arg Cardiol. 2019; 48 (1): 43-44.
Informe técnico: “Actualización de la definición operacional para casos sospechosos de Enfermedad Respiratoria Viral”. Comunicado oficial de la Secretaría de Salud a través de la Dirección general de Epidemiología. [30 de agosto 2020] Disponible en: https://www.gob.mx/cms/uploads/attachment/file/573729/Comunicado_Oficial_DOC_sospechoso_ERV.pdf
Zoghbi WA, Di Carli MF, Blankstein R et al. Multimodality cardiovascular imaging in the midst of the COVID-19 pandemic: Ramping up safely to a new normal. JACC: Cardiovascular Imaging. 2020; 13 (7): 1615-1626.
Wood DA, Mahmud E, Tourani VH, et al. Safe reintroduction of cardiovascular service during the COVID-19 pandemic: Guidance from North America Societies. [published online ahead of print. 2020 Apr 30]. Can J Cardiol. 2020; 36 (7): 971-976.
Johri AM, Galen B, Kirckpatrick JN et al. ASE statement on point-of-care ultrasound (POCUS) during the 2019 novel coronavirus pandemic. J Am Soc Echocardiogr 2020; 33 (6): 670-673.
Jain SS, Liu Q, Raikhelkar J, Fries J et al. Indications for and findings on transthoracic echocardiography in COVID-19. J Am Soc Echocardiogr. 2020; 33 (10): 1278-1284. Available in: https://doi.org/10.1016/j.echo.2020.06.09.
Deepak A, Hassan K, Lang PJ et al. COVID-19 for the cardiologist. Basic virology, epidemiology, cardiac manifestations and potential therapeutic strategies. JACC Basic Transl Sci. 2020; 5 (5): 518-536.
Szekely Y, Lichter Y, Taieb P et al. The spectrum of cardiac manifestations in coronavirus disease 2019 (COVID-19). A systematic echocardiography study. Circulation. 2020; 142: 342-353. Available in: https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.120.047971.
Churchill TW, Bertrand PB, Namasivanayam M et al. Echocardiographic features of COVID-19 illness and association with cardiac biomarkers. J Am Soc Echocardiogr. 2020; 33 (8): 1053-1054.
Marvaki A, Papachristidis A, Nakou E et al. Innovative transthoracic echocardiographic imaging on prone ventilated patients with COVID-19 using a transesophageal probe. JACC Cardiovasc Imaging. 2020; 13 (11): 2465-2467. Article in press: https://doi.org/10.1016/j.jcmg.2020.06.005.
Argulian E, Sud K, Vogel B et al. Right ventricular dilation in hospitalized patients with COVID-19 infection. JACC: Cardiovasc Imaging. 2020; 13 (11): 2459-2461. Available in: https://doi.org/10.1016/j.jcmg.2020.05.010.
Li Y, Li H, Zhu S et al. Prognostic value of right ventricular longitudinal strain in patients with COVID-19. JACC Cardiovasc Imaging. 2020; 13 (11): 2287-2299. Available in: https://doi.org/10.1016/j.jcmg.2020.04.014.
Recomendaciones generales de la Sociedad Española de Cardiología en Pandemia COVID. marzo 2020; SECardiologia.es/covid.