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Year : 2020  |  Volume : 30  |  Issue : 6  |  Page : 18-24

Echocardiography and Multimodality Cardiac Imaging in COVID-19 Patients

1 Department of Cardioneurovascular Diseases, Misericordia Hospital, Italy
2 Sub Intensive Care Unit, San Antonio Hospital, Padova, Italy
3 Cardiology, AOU of Modena, Modena, Italy
4 Cardiology, AOU Policlinic, University of Catania, Italy
5 Cardiology, Hospital of Desio (MB), Desio, Italy
6 Cardiology, Fatebenefratelli Hospital, Benevento, Italy
7 Geriatrics, AOU Mater-Domini, Catanzaro, Italy
8 Cardiology, “Mazzini” Hospital, Teramo, Italy
9 Intensive Care Unit, Hospital of Padova, Padova, Italy
10 Cardiovascular Pathology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy
11 Monzino Cardiology Center, IRCCS, Milano, Italy
12 Rehabilitative Cardiology, Ospedale Riabilitativo di Alta Specializzazione di Motta di Livenza (TV), Treviso, Veneto, Italy

Correspondence Address:
Alberto Cresti
Department of Cardioneurovascular, Azienda Sanitaria Toscana Sud Est, Ospedale Misericordia, Grosseto
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_58_20

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The pandemic caused by the new SARS-CoV-2, named coronavirus disease 2019 (COVID-19) disease, has challenged the health-care systems and raised new diagnostic pathways and safety issues for cardiac imagers. Myocardial injury may complicate COVID-19 infection in more than a quarter of patients and due to the wide a range of possible insults, cardiac imaging plays a crucial diagnostic and prognostic role. There is still little evidence regarding the best-imaging pathway and the echocardiographic findings. Most of the data derive from the single centers experiences and case-reports; therefore, our review reflects the recommendations mainly based on expert opinion. Moreover, knowledge is constantly evolving. The health-care system and physicians are called to reorganize the diagnostic pathways to minimize the possibility of spreading the infection. Thus a rapid, bedside, ultrasound assessment of the heart, chest, and leg veins by point-of-care ultrasound seems to be the first-line tool of the fight against the SARS-CoV-2. A second Level of cardiac imaging is appropriate when the result may guide decision-making or may be life-saving. Dedicated scanners should be used and special pathways should be reserved for these patients. The current knowledge on cardiac imaging COVID-19 patients is reviewed.

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