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Title

Echocardiographic Abnormalities as Independent Prognostic Factors of In-Hospital Mortality among COVID-19 Patients

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Abstract

 ntroduction: Direct and indirect sequels of COVID-19 in the cardiovascular system are unclear. The present study aims to investigate the echocardiography fi ndings in COVID-19 patients and possible correlations between the fi ndings and the disease outcome. Methods: In this cross-sectional study, baseline characteristics and echocardiographic fi ndings of hospitalized COVID-19 cases, and their correlation with mortality were evaluated. Furthermore, computed tomography (CT) angiography was performed to assess possible pulmonary embolism. In-hospital mortality was considered as the main outcome of the present study. Results: 680 confi rmed COVID19 cases with the mean age of 55. 15 ± 10. 92 (range: 28 – 79) years were studied (63. 09% male). Analysis showed that history of ischemic heart disease (RR=1. 14; 95% CI: 1. 08-1. 19), history of hypertension (RR=1. 04; 95% CI: 1. 00-1. 08), presence of embolism in main pulmonary artery (RR=1. 53; 95% CI: 1. 35-1. 74), CT involvement more than 70% (RR=1. 08; 95% CI: 1. 1. 01-1. 16), left ventricular ejection fraction < 30 (RR=1. 19; 95% CI: 1. 07-1. 32), pleural effusion (RR=1. 08; 95% CI: 1. 00-1. 16), pulmonary artery systolic blood pressure 35 to 50 mmHg (RR=1. 11; 95% CI: 1. 03-1. 18), right ventricular dysfunction (RR=1. 54; 95% CI: 1. 40-1. 08), and collapsed inferior vena-cava (RR=1. 05; 95% CI: 1. 01-1. 08) were independent prognostic factors of in-hospital mortality. Conclusion: Our study showed that cardiac involvement is a prevalent complication in COVID-19 patients. Echocardiography fi ndings have independent prognostic value for prediction of in-hospital mortality. Since echocardiography is an easy and accessible method, echocardiography monitoring of COVID-19 patients can be used as a screening tool for identifi cation of high-risk patients.

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    APA: Copy

    PISHGAHI, MEHDI, Karimi Toudeshki, Kimia, SAFARI, SAEED, & YOUSEFIFARD, MAHMOUD. (2021). Echocardiographic Abnormalities as Independent Prognostic Factors of In-Hospital Mortality among COVID-19 Patients. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 9(1), 0-0. SID. https://sid.ir/paper/766725/en

    Vancouver: Copy

    PISHGAHI MEHDI, Karimi Toudeshki Kimia, SAFARI SAEED, YOUSEFIFARD MAHMOUD. Echocardiographic Abnormalities as Independent Prognostic Factors of In-Hospital Mortality among COVID-19 Patients. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2021;9(1):0-0. Available from: https://sid.ir/paper/766725/en

    IEEE: Copy

    MEHDI PISHGAHI, Kimia Karimi Toudeshki, SAEED SAFARI, and MAHMOUD YOUSEFIFARD, “Echocardiographic Abnormalities as Independent Prognostic Factors of In-Hospital Mortality among COVID-19 Patients,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 9, no. 1, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/766725/en

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