Covid19, Left Ventricular Dysfunction, Pulmonary Hypertension, Right Ventricular Dysfunction
Conditions
Brief summary
Cardiac dysfunction has been reported to be common in patients infected with COVID-19. The aim of this study is to evaluate the clinical importance of cardiac dysfunction in critically ill patients infected with COVID-19.
Detailed description
Cardiac dysfunction has been reported to be common in patients infected with COVID-19. The aim of this study is to evaluate the clinical importance of cardiac dysfunction in critically ill patients with COVID-19. Patients admitted to the intensive care unit, with COVID-19 are examined with echocardiography for assessment of left and right ventricular dysfunction within 72 hours from admission and repeated after four to seven days. Cardiac dysfunction was defined as having either left ventricular (LV) dysfunction, defined as having an ejection fraction \<50% and/or regional hypokinesia, or right ventricular (RV) dysfunction, defined as having a tricuspid annular plane excursion (TAPSE) \<17mm or a moderate/severe RV dysfunction assessed visually. The cardiac biomarkers troponin and NTproBNP and clinical data are recorded at time of each echo. Mortality status is recorded at 30 days.
Interventions
Echocardiography for assessment of cardiac function
Sponsors
Study design
Eligibility
Inclusion criteria
Patients admitted to the intensive care unit infected with COVID-19
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 30 days | All cause death in patients with vs without cardiac dysfunction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Left ventricular dysfunction | Within 72 hours from admission | Prevalence of left ventricular dysfunction |
| Right ventricular dysfunction | Within 72 hours from admission | Prevalence of right ventricular dysfunction |
| Risk-factors | Within 72 hours from admission | Clinical variables associated with risk of having cardiac dysfunction |
| Cardiac biomarkers | Within 72 hours from admission | Levels of cardiac biomarkers in patients with vs without cardiac dysfunction |
Countries
Sweden