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Bedside chest ultrasound to distinguish heart failure from pneumonia‐related dyspnoea in older COVID‐19 patients

AIMS: In the older population, acute heart failure is a frequent, life‐threatening complication of COVID‐19 that requires urgent specific care. We aimed to explore the impact of point‐of‐care chest ultrasound (CUS) use in older bedridden inpatients during the COVID‐19 pandemic as a tool to distingui...

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Autores principales: Hacquin, Arthur, Putot, Sophie, Barben, Jérémy, Chagué, Frédéric, Zeller, Marianne, Cottin, Yves, Manckoundia, Patrick, Putot, Alain
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7675430/
https://www.ncbi.nlm.nih.gov/pubmed/33047864
http://dx.doi.org/10.1002/ehf2.13017
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author Hacquin, Arthur
Putot, Sophie
Barben, Jérémy
Chagué, Frédéric
Zeller, Marianne
Cottin, Yves
Manckoundia, Patrick
Putot, Alain
author_facet Hacquin, Arthur
Putot, Sophie
Barben, Jérémy
Chagué, Frédéric
Zeller, Marianne
Cottin, Yves
Manckoundia, Patrick
Putot, Alain
author_sort Hacquin, Arthur
collection PubMed
description AIMS: In the older population, acute heart failure is a frequent, life‐threatening complication of COVID‐19 that requires urgent specific care. We aimed to explore the impact of point‐of‐care chest ultrasound (CUS) use in older bedridden inpatients during the COVID‐19 pandemic as a tool to distinguish between cardiogenic pulmonary oedema and isolated viral pneumonia‐related dyspnoea. METHODS AND RESULTS: This prospective series included 16 patients aged 75 or older, hospitalized for acute dyspnoea in an acute geriatric unit of a university hospital and testing positive for a SARS‐Cov2 infection. We collected demographic characteristics, medical history, biological screening, clinical symptoms, CUS findings (n = 16) and chest CT‐scan conclusions (n = 14). Mean age was 89 years (77–97). All patients presented asthenia and dyspnoea, 56% complained of coughing and diarrhoea, and 50% had fever. Acute heart failure was clinically suspected in seven patients. At CUS, evidence of heart failure was confirmed in three patients (including one without clinical suspicion); interstitial syndrome was confirmed in 12 patients on CUS vs. 9 patients with CT. CONCLUSIONS: In older patients with COVID‐19 and acute dyspnoea, the use of point‐of‐care CUS allowed the clinician to quickly rule out heart failure in nearly half of suspected cases while easily identifying virus‐related interstitial syndrome. The use of CUS appears to be suitable for the rapid bedside investigation of dyspnoea in older patients, particularly in the context of the COVID‐19 pandemic.
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spelling pubmed-76754302020-11-19 Bedside chest ultrasound to distinguish heart failure from pneumonia‐related dyspnoea in older COVID‐19 patients Hacquin, Arthur Putot, Sophie Barben, Jérémy Chagué, Frédéric Zeller, Marianne Cottin, Yves Manckoundia, Patrick Putot, Alain ESC Heart Fail Short Communications AIMS: In the older population, acute heart failure is a frequent, life‐threatening complication of COVID‐19 that requires urgent specific care. We aimed to explore the impact of point‐of‐care chest ultrasound (CUS) use in older bedridden inpatients during the COVID‐19 pandemic as a tool to distinguish between cardiogenic pulmonary oedema and isolated viral pneumonia‐related dyspnoea. METHODS AND RESULTS: This prospective series included 16 patients aged 75 or older, hospitalized for acute dyspnoea in an acute geriatric unit of a university hospital and testing positive for a SARS‐Cov2 infection. We collected demographic characteristics, medical history, biological screening, clinical symptoms, CUS findings (n = 16) and chest CT‐scan conclusions (n = 14). Mean age was 89 years (77–97). All patients presented asthenia and dyspnoea, 56% complained of coughing and diarrhoea, and 50% had fever. Acute heart failure was clinically suspected in seven patients. At CUS, evidence of heart failure was confirmed in three patients (including one without clinical suspicion); interstitial syndrome was confirmed in 12 patients on CUS vs. 9 patients with CT. CONCLUSIONS: In older patients with COVID‐19 and acute dyspnoea, the use of point‐of‐care CUS allowed the clinician to quickly rule out heart failure in nearly half of suspected cases while easily identifying virus‐related interstitial syndrome. The use of CUS appears to be suitable for the rapid bedside investigation of dyspnoea in older patients, particularly in the context of the COVID‐19 pandemic. John Wiley and Sons Inc. 2020-10-13 /pmc/articles/PMC7675430/ /pubmed/33047864 http://dx.doi.org/10.1002/ehf2.13017 Text en © 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Short Communications
Hacquin, Arthur
Putot, Sophie
Barben, Jérémy
Chagué, Frédéric
Zeller, Marianne
Cottin, Yves
Manckoundia, Patrick
Putot, Alain
Bedside chest ultrasound to distinguish heart failure from pneumonia‐related dyspnoea in older COVID‐19 patients
title Bedside chest ultrasound to distinguish heart failure from pneumonia‐related dyspnoea in older COVID‐19 patients
title_full Bedside chest ultrasound to distinguish heart failure from pneumonia‐related dyspnoea in older COVID‐19 patients
title_fullStr Bedside chest ultrasound to distinguish heart failure from pneumonia‐related dyspnoea in older COVID‐19 patients
title_full_unstemmed Bedside chest ultrasound to distinguish heart failure from pneumonia‐related dyspnoea in older COVID‐19 patients
title_short Bedside chest ultrasound to distinguish heart failure from pneumonia‐related dyspnoea in older COVID‐19 patients
title_sort bedside chest ultrasound to distinguish heart failure from pneumonia‐related dyspnoea in older covid‐19 patients
topic Short Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7675430/
https://www.ncbi.nlm.nih.gov/pubmed/33047864
http://dx.doi.org/10.1002/ehf2.13017
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