☆ 4.7 Review

The Right Ventricle in COVID-19

JOURNAL OF CLINICAL MEDICINE (2021)

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Article Cardiac & Cardiovascular Systems

Heart-lung interactions in COVID-19: prognostic impact and usefulness of bedside echocardiography for monitoring of the right ventricle involvement

Michael Dandel

Summary: The pathophysiologic role of heart-lung interactions is crucial for the development and progression of right ventricular dysfunction in severe COVID-19 cases. Timely identification of high-risk patients, optimization of mechanical ventilation, avoidance of medication increasing pulmonary vascular resistance, and use of extracorporeal membrane oxygenation before RV failure develops can improve patient survival. Transthoracic echocardiography focused on the right heart enables useful prognostic statements and personalized management in hospitalized COVID-19 patients.

HEART FAILURE REVIEWS (2022)

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Letter Cardiac & Cardiovascular Systems

REPLY: PROTECTING THE RIGHT VENTRICLE IN COVID-19 ACUTE RESPIRATORY DISTRESS SYNDROME-MORE DATA REQUIRED

Gurmeet Singh et al.

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY (2021)

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Letter Anesthesiology

Inhaled nitric oxide minimally improves oxygenation in COVID-19 related acute respiratory distress syndrome

Alessia Longobardo et al.

BRITISH JOURNAL OF ANAESTHESIA (2021)

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Article Medicine, General & Internal

Dexamethasone in Hospitalized Patients with Covid-19

Peter Horby et al.

Summary: In patients hospitalized with Covid-19, the use of dexamethasone resulted in lower 28-day mortality among those who were receiving either invasive mechanical ventilation or oxygen alone at randomization but not among those receiving no respiratory support.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Article Critical Care Medicine

Almitrine Infusion in Severe Acute Respiratory Syndrome Coronavirus 2-Induced Acute Respiratory Distress Syndrome: A Single-Center Observational Study

Morgan Caplan et al.

Summary: The study found that infusion of Almitrine improved oxygenation in patients with acute respiratory distress syndrome induced by severe acute respiratory syndrome coronavirus 2, without adverse effects. Patients who responded positively to Almitrine had better prognosis, suggesting Almitrine could be an interesting therapeutic option in managing severe hypoxemia.

CRITICAL CARE MEDICINE (2021)

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Letter Infectious Diseases

Cardiac manifestations of COVID-19 infection: the role of echocardiography in patient management

Michael Dandel

INFECTION (2021)

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Article Cardiac & Cardiovascular Systems

Evaluation of biventricular function in patients with COVID-19 using speckle tracking echocardiography

Omer Faruk Baycan et al.

Summary: The study evaluated the prognostic value of left ventricular global longitudinal strain (LV-GLS) and right ventricular longitudinal strain (RV-LS) in patients with COVID-19. The results showed that LV-GLS and RV-LS were independent predictors of in-hospital mortality for COVID-19 patients.

INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING (2021)

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Letter Cardiac & Cardiovascular Systems

MECHANICAL VENTILATION: A NECESSARY EVIL?

David L. Joyce

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY (2021)

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Review Urology & Nephrology

Immunity, endothelial injury and complement-induced coagulopathy in COVID-19

Luca Perico et al.

Summary: This review provides insights into the pathogenic mechanisms and clinical manifestations of COVID-19, highlighting the critical role of the immunological hyper-response induced by SARS-CoV-2 infection. The authors emphasize the importance of early diagnosis and intervention in controlling disease progression.

NATURE REVIEWS NEPHROLOGY (2021)

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Article

Acute right ventricular failure in COVID-19 infection: A case series

Edgar García-Cruz et al.

Journal of Cardiology Cases (2021)

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Article Anesthesiology

Effects of inhaled nitric oxide in COVID-19-induced ARDS - Is it worthwhile?

Christopher Lotz et al.

Summary: Inhalation of NO significantly improved oxygenation in COVID-19 ARDS patients. Severe ARDS patients had higher partial pressures of oxygen and reduced pulmonary vascular resistance after receiving iNO. Significant changes in pulmonary shunting were not observed.

ACTA ANAESTHESIOLOGICA SCANDINAVICA (2021)

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Article Cardiac & Cardiovascular Systems

Microthrombi as a Major Cause of Cardiac Injury in COVID-19 A Pathologic Study

Dario Pellegrini et al.

Summary: Analysis of heart tissue from 40 deceased COVID-19 patients revealed that microthrombi were the most common pathological cause of myocyte necrosis. Female patients with chronic kidney disease and shorter symptom onset to admission time were more likely to have myocyte necrosis. Tailored antithrombotic strategies may be useful to counteract the cardiac effects of COVID-19 infection.

CIRCULATION (2021)

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Article Cardiac & Cardiovascular Systems

Myocardial Inflammation and Dysfunction in COVID-19-Associated Myocardial Injury

Ludwig T. Weckbach et al.

Summary: In this study, myocardial injury in COVID-19 patients was documented through reduced left ventricular strain on echocardiography, myocarditis patterns on cardiac magnetic resonance, and increased macrophage numbers on endomyocardial biopsy.

CIRCULATION-CARDIOVASCULAR IMAGING (2021)

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Article Cardiac & Cardiovascular Systems

A pilot study on right ventricular longitudinal strain as a predictor of outcome in COVID-19 patients with evidence of cardiac involvement

Alexander Stockenhuber et al.

Summary: This study aimed to evaluate echocardiographic parameters, particularly right ventricular function, as predictors of mortality in COVID-19 patients with cardiac involvement. The results showed that survivors had smaller RV size and better RV function, with RVLS being a potent predictor of outcomes. Patients with an average RVLS below 20% had significantly increased 30-day mortality, highlighting the importance of RV function in predicting outcomes in COVID-19 patients.

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES (2021)

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Letter Critical Care Medicine

ECMO for COVID-19 patients in Europe and Israel

Roberto Lorusso et al.

INTENSIVE CARE MEDICINE (2021)

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Article Cardiac & Cardiovascular Systems

Imaging data in COVID-19 patients: focused on echocardiographic findings

Roya Sattarzadeh Badkoubeh et al.

Summary: Assessment of imaging data in 86 COVID-19 patients showed that variables such as systolic pulmonary artery pressure, tricuspid annular plane systolic excursion, and pericardial effusion were associated with disease progression and survival, indicating potential prognostic and therapeutic implications in managing COVID-19 patients.

INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING (2021)

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Review Physiology

Functional pathophysiology of SARS-CoV-2-induced acute lung injury and clinical implications

Nader M. Habashi et al.

Summary: This paper reviews the rapidly growing knowledge of COVID-19-induced lung pathophysiology, analyzes two distinct phenotypes associated with CARDS, and discusses potential mechanisms causing alterations in pulmonary perfusion.

JOURNAL OF APPLIED PHYSIOLOGY (2021)

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Article Anesthesiology

Usefulness of Right Ventricular Longitudinal Shortening Fraction to Detect Right Ventricular Dysfunction in Acute Cor Pulmonale Related to COVID-19

Christophe Beyls et al.

Summary: This study aimed to compare classic echocardiographic parameters and 2D-STE parameters in diagnosing right ventricular systolic function in CARDS patients with or without ACP. The results showed that 2D-STE parameters were significantly altered in the ACP group, while classic RV parameters did not show significant differences. RV-LSF may be a valuable parameter to detect early RV systolic dysfunction in CARDS patients with ACP.

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA (2021)

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Article Infectious Diseases

Incidence, risk factors, and thrombotic load of pulmonary embolism in patients hospitalized for COVID-19 infection

Alberto Garcia-Ortega et al.

Summary: The study revealed a high incidence of pulmonary embolism in hospitalized COVID-19 patients, with heart rate, spO2, D-dimer, and CRP levels at admission serving as predictors of PE during hospitalization.

JOURNAL OF INFECTION (2021)

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Review Cardiac & Cardiovascular Systems

Pathological Evidence for SARS-CoV-2 as a Cause of Myocarditis JACC Review Topic of the Week

Rika Kawakami et al.

Summary: Myocarditis is rare in COVID-19 patients, with virus detected in the heart in only a few cases. Myocarditis may be caused by macrophages and T cells, but it does not represent clinically relevant myocarditis.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2021)

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Review Radiology, Nuclear Medicine & Medical Imaging

Cardiac Magnetic Resonance Imaging in Coronavirus Disease 2019 (COVID-19) A Systematic Review of Cardiac Magnetic Resonance Imaging Findings in 199 Patients

Vineeta Ojha et al.

Summary: Cardiac magnetic resonance imaging (CMR) is a valuable tool for assessing myocardial injury in COVID-19 patients, with myocarditis being the most common imaging diagnosis and mapping abnormalities and myocardial edema on T2 being the most common imaging findings. Prompt detection and appropriate treatment of cardiovascular involvement is crucial due to its association with poor prognosis.

JOURNAL OF THORACIC IMAGING (2021)

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Article Hematology

Vascular neutrophilic inflammation and immunothrombosis distinguish severe COVID-19 from influenza pneumonia

Leo Nicolai et al.

Summary: Our study reveals that vascular neutrophil recruitment, NETosis, and subsequent immunothrombosis are typical features of severe COVID-19, but less prominent in influenza pneumonia when comparing histopathological specimens of SARS-CoV-2 with influenza-affected lungs. Activated neutrophils were typically found in physical association with monocytes.

JOURNAL OF THROMBOSIS AND HAEMOSTASIS (2021)

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Review Cardiac & Cardiovascular Systems

Thrombocytopathy and endotheliopathy: crucial contributors to COVID-19 thromboinflammation

Sean X. Gu et al.

Summary: Platelet and endothelial dysfunction are essential components of COVID-19 pathology, while cardiovascular risk factors exacerbate the severity of the disease. Patients with pre-existing cardiovascular disease and risk factors are at the highest risk of death from COVID-19.

NATURE REVIEWS CARDIOLOGY (2021)

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Article Medicine, General & Internal

Study protocol for COVID-RV: a multicentre prospective observational cohort study of right ventricular dysfunction in ventilated patients with COVID-19

Jennifer Mary Willder et al.

Summary: This study aims to investigate the prevalence and prognostic significance of RV dysfunction in ventilated patients with COVID-19, in order to improve patient outcomes. The research will focus on potential interventions and outcomes associated with RV dysfunction in COVID-19 patients requiring invasive ventilation.

BMJ OPEN (2021)

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Review Critical Care Medicine

Echocardiographic Features of Cardiac Injury Related to COVID-19 and Their Prognostic Value: A Systematic Review

Neda Shafiabadi Hassani et al.

Summary: This study investigated the echocardiographic features of cardiac injury related to COVID-19 and their prognostic value, finding that RV abnormalities were more common and significantly associated with severe forms and death of COVID-19.

JOURNAL OF INTENSIVE CARE MEDICINE (2021)

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Review Medicine, General & Internal

Proposal of the Definition for COVID-19-Associated Coagulopathy

Toshiaki Iba et al.

Summary: Thrombotic events are common complications in COVID-19 patients, involving both large vessels and microvasculature. COVID-19-associated coagulopathy (CAC) and disseminated intravascular coagulation (DIC) have similarities and differences, both related to systemic activation of coagulation caused by microvascular damage.

JOURNAL OF CLINICAL MEDICINE (2021)

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Review Biochemistry & Molecular Biology

Mechanisms of Pulmonary Hypertension in Acute Respiratory Distress Syndrome (ARDS)

Lucy Revercomb et al.

Summary: ARDS is a severe and often fatal disease with multiple causes, and it can lead to complications such as pulmonary hypertension (PH). However, the mechanisms that cause PH in ARDS are not fully understood.

FRONTIERS IN MOLECULAR BIOSCIENCES (2021)

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Article Critical Care Medicine

Advanced echocardiographic phenotyping of critically ill patients with coronavirus-19 sepsis: a prospective cohort study

Francois Bagate et al.

Summary: Hemodynamic evaluation in critically ill COVID-19 septic patients revealed common occurrence of acute myocardial injury, associated with changes in left ventricle and right ventricle functions. Echocardiographic assessment had significant clinical impact on patient management.

JOURNAL OF INTENSIVE CARE (2021)

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Review Critical Care Medicine

Left and right ventricular longitudinal strains are associated with poor outcome in COVID-19: a systematic review and meta-analysis

Arief Wibowo et al.

Summary: This study demonstrates that lower LV-GLS and RV-LS measurements are associated with poor outcomes in patients with COVID-19.

JOURNAL OF INTENSIVE CARE (2021)

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Article Engineering, Biomedical

Extracorporeal Membrane Oxygenation for COVID-19: Updated 2021 Guidelines from the Extracorporeal Life Support Organization

Jenelle Badulak et al.

Summary: The guideline emphasizes the importance of ECMO treatment for COVID-19 patients, recommending the use of V-V ECMO for ARDS. More stringent contraindications should be implemented when resources are limited, and establishing regional ECMO referral networks can help expedite patient referrals.

ASAIO JOURNAL (2021)

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Letter Anesthesiology

Potential for personalised application of inhaled nitric oxide in COVID-19 pneumonia

Benjamin Garfield et al.

BRITISH JOURNAL OF ANAESTHESIA (2021)

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Article Critical Care Medicine

Efficacy of Serum Angiotensin II Levels in Prognosis of Patients With Coronavirus Disease 2019

Seda Ozkan et al.

Summary: The study aimed to determine serum angiotensin II levels in patients with COVID-19 and investigate its effect on disease prognosis. Results showed significantly lower angiotensin II levels in COVID-19 patients compared to healthy controls, with lower levels observed in patients with acute respiratory distress syndrome and those requiring ICU admission. Although low angiotensin II levels were linked to lung damage, they did not significantly correlate with mortality.

CRITICAL CARE MEDICINE (2021)

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Article Critical Care Medicine

Extracorporeal membrane oxygenation in patients with severe respiratory failure from COVID-19

Shahzad Shaefi et al.

Summary: Limited data on venovenous extracorporeal membrane oxygenation (ECMO) in patients with severe hypoxemic respiratory failure from COVID-19 were examined in a multicenter cohort study. Findings suggest that ECMO may reduce mortality in select patients with severe respiratory failure from COVID-19.

INTENSIVE CARE MEDICINE (2021)

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Article Cardiac & Cardiovascular Systems

Right ventricular dysfunction in critically ill COVID-19 ARDS

Caroline Bleakley et al.

Summary: Critically ill patients with severe COVID-19 ARDS exhibit a specific phenotype of RV radial impairment, highlighting the importance of not solely interpreting RV health based on long-axis parameters. RV-PA coupling may offer valuable additional insights into RV performance in this cohort.

INTERNATIONAL JOURNAL OF CARDIOLOGY (2021)

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Review Infectious Diseases

Tricuspid annular plane systolic excursion (TAPSE) measured by echocardiography and mortality in COVID-19: A systematic review and meta-analysis

Januar Wibawa Martha et al.

Summary: This systematic review and meta-analysis showed that lower TAPSE values were associated with higher mortality in COVID-19 patients. Each 1 mm decrease in TAPSE was related to a 20% increase in mortality. Meta-regression indicated the impact of chronic obstructive pulmonary disease and pulmonary artery systolic pressure on the difference in TAPSE between non-survivors and survivors.

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES (2021)

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Review Cardiac & Cardiovascular Systems

Thrombotic complications in 2928 patients with COVID-19 treated in intensive care: a systematic review

William J. Jenner et al.

Summary: Despite thromboprophylaxis, a high incidence of thrombotic complications, including deep venous thrombosis and pulmonary embolism, occurs in 34% of ICU-treated patients with COVID-19. Systematic screening for venous thrombosis significantly increases the detection rate, indicating the importance of enhanced monitoring for thrombotic complications in ICU patients.

JOURNAL OF THROMBOSIS AND THROMBOLYSIS (2021)

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Article Anesthesiology

Prevalence and outcome of silent hypoxemia in COVID-19

Mattia Busana et al.

Summary: Silent hypoxemia is present in a significant proportion of COVID-19 patients, showing more extra respiratory symptoms and lower plasmatic LDH compared to those with dyspnea. Even in the presence of severely abnormal CXR, 25% of patients exhibited silent hypoxemia. The admission rate to the ICU was similar between silent and dyspneic patients, but they had different respiratory rates.

MINERVA ANESTESIOLOGICA (2021)

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Article Medicine, General & Internal

Interleukin-6 Receptor Antagonists in Critically Ill Patients with Covid-19

Anthony C. Gordon et al.

Summary: Interleukin-6 receptor antagonists tocilizumab and sarilumab were found to improve outcomes, including survival, in critically ill patients with Covid-19 receiving organ support in ICUs according to an ongoing international trial. The efficacy of these treatments has been confirmed, with patients benefiting from the therapy.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Letter Hematology

Pulmonary embolism in COVID-19 patients: prevalence, predictors and clinical outcomefor

Fernando Scudiero et al.

Summary: PE is a relatively common complication in COVID-19, associated with longer time since symptom onset, higher D-dimers levels, and myocardial injury. TAPSE and sPAP are independently associated with the occurrence of PE in COVID-19 patients. PE patients have higher mortality rates and risk of cardiogenic shock.

THROMBOSIS RESEARCH (2021)

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Review Pathology

The pulmonary pathology of COVID-19

Hans Bosmuller et al.

Summary: The lung is the primary organ affected by severe coronavirus disease 2019 (COVID-19) caused by the novel coronavirus SARS-CoV-2, with lung damage being the leading cause of death in most patients. Pathological features of fatal COVID-19 include early changes like edema, epithelial damage, and capillaritis/endothelialitis, progressing to exudative diffuse alveolar damage (DAD) in patients with respiratory insufficiency. These features are not specific to COVID-19 and can be found in other disorders, while clinically, early severe COVID-19 stages are characterized by high viral load, lymphopenia, pro-inflammatory cytokine secretion, and hypercoagulability.

VIRCHOWS ARCHIV (2021)

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Article Anesthesiology

Could strain echocardiography help to assess systolic function in critically ill COVID-19 patients?

Filipe Gonzalez et al.

Summary: Left ventricular GLS was useful in assessing left ventricular systolic function, while the correlation between right ventricular GLS and classic echo-Doppler indices was weak. Further studies are needed to clarify the best method to assess right ventricular systolic function in ICU patients with COVID-19.

JOURNAL OF CLINICAL MONITORING AND COMPUTING (2021)

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Article Multidisciplinary Sciences

Prognostic value of cardiac biomarkers in COVID-19 infection

Aakash Sheth et al.

Summary: Cardiac biomarkers are of prognostic value in COVID-19 patients, playing an important role in assessing disease severity and mortality rates.

SCIENTIFIC REPORTS (2021)

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Review Respiratory System

Coagulation disorders and thromboembolic disease in COVID-19 review of current evidence in search of a better approach

Alberto Garcia-Ortega et al.

Summary: The global health crisis caused by the novel coronavirus SARS-CoV-2 has led to over 20 million infections and 900,000 deaths by September 2020. Studies have shown that the virus can induce a prothrombotic state in patients, leading to various complications including venous thromboembolism. Mechanisms such as immune responses and inflammation may play a role in activating coagulation and triggering thrombogenesis.

JOURNAL OF THORACIC DISEASE (2021)

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Review Cardiac & Cardiovascular Systems

Cardiovascular biomarkers in patients with COVID-19

Christian Mueller et al.

Summary: The COVID-19 pandemic has raised awareness about the potential impacts on the cardiovascular system, especially in patients with pre-existing cardiac conditions. There is ongoing debate regarding the use of cardiovascular biomarkers in suspected COVID-19 cases, but these biomarkers play a crucial role in evaluating disease severity, cardiac involvement, and mortality risk in COVID-19 and other pneumonia cases caused by different pathogens.

EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE (2021)

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Article Cardiac & Cardiovascular Systems

Prognostic Value of Right Ventricular Ejection Fraction Assessed by 3D Echocardiography in COVID-19 Patients

Yanting Zhang et al.

Summary: Measuring RV function in COVID-19 patients using 3D-RVEF can predict mortality, with 3D-RVEF being the most robust independent predictor of death in COVID-19 patients and providing higher predictive value compared to conventional RV function parameters.

FRONTIERS IN CARDIOVASCULAR MEDICINE (2021)

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Article Biochemistry & Molecular Biology

Pulmonary Endothelial Dysfunction and Thrombotic Complications in Patients with COVID-19

Cristina Rodriguez et al.

Summary: SARS-CoV-2, causing COVID-19, poses a major threat to global public health with severe respiratory and multiorgan complications. The complications of COVID-19, including cytokine storm and thrombi formation, involve the pulmonary endothelium in regulating vascular homeostasis and coagulation.

AMERICAN JOURNAL OF RESPIRATORY CELL AND MOLECULAR BIOLOGY (2021)

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Article Biochemistry & Molecular Biology

Lung Epithelial Cell Transcriptional Regulation as a Factor in COVID-19-associated Coagulopathies

Ethan S. Fitzgerald et al.

Summary: The research investigated how SARS-CoV-2 infection impacts the molecular basis of blood coagulation, revealing that it induces the extrinsic blood coagulation cascade and suppresses the plasminogen activation system. This may lead to diverse coagulopathies in lung and distal organ systems.

AMERICAN JOURNAL OF RESPIRATORY CELL AND MOLECULAR BIOLOGY (2021)

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Review Cardiac & Cardiovascular Systems

COVID-19 and Cardiovascular Disease From Bench to Bedside

Mina K. Chung et al.

Summary: COVID-19, caused by SARS-CoV-2, has potential consequences on the cardiovascular health of millions of survivors worldwide. The virus can infect the heart, vascular tissues, and circulating cells through ACE2, leading to acute cardiac injury. This update reviews clinical manifestations, impact mechanisms, and management implications for patients after recovering from acute COVID-19 infection.

CIRCULATION RESEARCH (2021)

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Review Critical Care Medicine

Acute Cardiac Injury in Coronavirus Disease 2019 and Other Viral Infections-A Systematic Review and Meta-Analysis

Matthew P. Cheng et al.

Summary: The occurrence of acute cardiac injury in patients with coronavirus disease 2019 is higher compared to patients infected by other respiratory viruses, possibly due to the virus binding and inhibiting angiotensin-converting enzyme-2.

CRITICAL CARE MEDICINE (2021)

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Article Cardiac & Cardiovascular Systems

Recent Randomized Trials of Antithrombotic Therapy for Patients With COVID-19

Azita H. Talasaz et al.

Summary: COVID-19 induces endothelial injury and thrombosis, but the optimal thromboprophylactic regimens are still unknown across the spectrum of illness severity. Ongoing randomized controlled trials are assessing various antithrombotic agents, doses, and durations, presenting opportunities and challenges for the clinical trial enterprise.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2021)

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Review Respiratory System

The role of extracorporeal membrane oxygenation in critically ill patients with COVID-19: a narrative review

Shiqian Huang et al.

Summary: The extracorporeal life support treatment ECMO has been recommended for severe COVID-19 patients, but its application must be carefully considered to improve patient outcomes. Further clinical trials are necessary to better understand the benefits of ECMO for critically ill COVID-19 patients.

BMC PULMONARY MEDICINE (2021)

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Article Critical Care Medicine

Extracorporeal membrane oxygenation network organisation and clinical outcomes during the COVID-19 pandemic in Greater Paris, France: a multicentre cohort study

Guillaume Lebreton et al.

Summary: This study analyzed adult patients admitted to intensive care units in Greater Paris for ECMO treatment during the early stages of the COVID-19 pandemic. Most patients were male and prone positioned before ECMO. The 90-day survival rate after ECMO treatment was 46%, with the main causes of death being multiorgan failure and septic shock.

LANCET RESPIRATORY MEDICINE (2021)

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Article Critical Care Medicine

Right Ventricular Strain Is Common in Intubated COVID-19 Patients and Does Not Reflect Severity of Respiratory Illness

Lauren E. Gibson et al.

Summary: In critically ill COVID-19 patients, right ventricular dysfunction is common and correlated with favorable lung compliance, rather than abnormal lung mechanics or ventilatory pressures. This dysfunction may be secondary to diffuse intravascular micro- and macro-thrombosis or direct myocardial damage.

JOURNAL OF INTENSIVE CARE MEDICINE (2021)

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Article Pathology

Characterisation of cardiac pathology in 23 autopsies of lethal COVID-19

Jasmin D. Haslbauer et al.

Summary: COVID-19 patients exhibit significant pathophysiological changes in the cardiovascular system, including myocardial capillary dilatation, fibrin deposition, and microhaemorrhage. Patients who died from COVID-19 infection showed more severe histological characteristics in the heart, with those testing positive for myocardial RT-PCR having a shorter time to death, while those testing negative had a longer hospitalization time.

JOURNAL OF PATHOLOGY CLINICAL RESEARCH (2021)

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Review Cardiac & Cardiovascular Systems

Biomarkers of Cardiac Stress and Cytokine Release Syndrome in COVID-19: A Review

Jonathan S. Gordon et al.

Summary: COVID-19 caused by SARS-CoV-2 has led to a global pandemic, with myocardial injury being a common occurrence in hospitalized patients. Biomarkers such as cardiac troponin and B-type natriuretic peptide are elevated in these patients and are correlated with illness severity and mortality. Cytokines like IL-6 are often elevated in patients with ACovCS, indicating a possible connection to the myocardial injury.

CURRENT HEART FAILURE REPORTS (2021)

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Article Health Care Sciences & Services

Seroprevalence of SARS-CoV-2 Antibody in Echocardiography and Stress Laboratory

Renuka Jain et al.

Summary: This study investigated the seroprevalence of SARS-CoV-2 antibodies in echocardiography and stress laboratory staff who regularly participate in potentially aerosol-generating activities. Results showed that approximately 7.0% of the staff tested had a positive SARS-CoV-2 IgG antibody result, indicating past COVID-19 infection.

JOURNAL OF PATIENT-CENTERED RESEARCH AND REVIEWS (2021)

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Article Cardiac & Cardiovascular Systems

SARS-CoV-2 Infects Human Engineered Heart Tissues and Models COVID-19 Myocarditis

Adam L. Bailey et al.

Summary: The study provides evidence that cardiomyocytes are infected in patients with COVID-19 myocarditis, leading to severe acute respiratory syndrome coronavirus 2 infection that results in various detrimental effects, including contractile deficits and cell death.

JACC-BASIC TO TRANSLATIONAL SCIENCE (2021)

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Article Immunology

Endothelial dysfunction and immunothrombosis as key pathogenic mechanisms in COVID-19

Aldo Bonaventura et al.

Summary: The authors suggest that SARS-CoV-2 infection induces a prothrombotic state and dysregulated immunothrombosis, leading to severe manifestations of COVID-19. They also discuss potential antithrombotic and immunomodulating drugs for treating COVID-19 patients, aiming to reduce the acute and long-term consequences of the disease by targeting immunothrombosis.

NATURE REVIEWS IMMUNOLOGY (2021)

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Article Critical Care Medicine

Early effects of ventilatory rescue therapies on systemic and cerebral oxygenation in mechanically ventilated COVID-19 patients with acute respiratory distress syndrome: a prospective observational study

Chiara Robba et al.

Summary: This prospective observational study in COVID-19 patients evaluated the effects of different rescue therapies on systemic and cerebral oxygenation. The results showed specific pathophysiological mechanisms of rescue therapies result in varied effects on systemic and cerebral oxygenation. Furthermore, a correlation between cerebral and systemic oxygenation was found, suggesting the importance of considering both lung and brain needs when choosing a rescue strategy.

CRITICAL CARE (2021)

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Article Critical Care Medicine

Expert consensus statements for the management of COVID-19-related acute respiratory failure using a Delphi method

Prashant Nasa et al.

Summary: A study was conducted using the Delphi process to develop clinical practice statements on the respiratory management of COVID-19-related acute respiratory failure. A total of 27 management strategies were agreed upon by experts, leading to the development of 20 expert clinical practice statements. Experts unanimously agreed that COVID-19-related acute respiratory distress syndrome is clinically similar to other forms of ARDS.

CRITICAL CARE (2021)

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Article Critical Care Medicine

Renin-angiotensin system dysregulation in critically ill patients with acute respiratory distress syndrome due to COVID-19: a preliminary report

Davide Eleuteri et al.

CRITICAL CARE (2021)

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Review Critical Care Medicine

Static and Dynamic Contributors to Ventilator-induced Lung Injury in Clinical Practice Pressure, Energy, and Power

John J. Marini et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2020)

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Article Biology

Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury

Yingxia Liu et al.

SCIENCE CHINA-LIFE SCIENCES (2020)

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Article Engineering, Biomedical

Initial ELSO Guidance Document: ECMO for COVID-19 Patients with Severe Cardiopulmonary Failure

Robert H. Bartlett et al.

ASAIO JOURNAL (2020)

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Article Cardiac & Cardiovascular Systems

Echocardiographic Findings in Patients With COVID-19 Pneumonia

Hani M. Mahmoud-Elsayed et al.

CANADIAN JOURNAL OF CARDIOLOGY (2020)

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Article Cardiac & Cardiovascular Systems

Spectrum of Cardiac Manifestations in COVID-19 A Systematic Echocardiographic Study

Yishay Szekely et al.

CIRCULATION (2020)

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Editorial Material Cardiac & Cardiovascular Systems

Acute myocardial injury, MINOCA, or myocarditis? Improving characterization of coronavirus-associated myocardial involvement

Giovanni Peretto et al.

EUROPEAN HEART JOURNAL (2020)

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Article Critical Care Medicine

Feasibility, reproducibility and diagnostic usefulness of right ventricular strain by 2-dimensional speckle-tracking echocardiography in ARDS patients: the ARD strain study

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ANNALS OF INTENSIVE CARE (2020)

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Article Critical Care Medicine

High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study

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INTENSIVE CARE MEDICINE (2020)

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Letter Cardiac & Cardiovascular Systems

Cardiac troponin I in patients with coronavirus disease 2019 (COVID-19): Evidence from a meta-analysis

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PROGRESS IN CARDIOVASCULAR DISEASES (2020)

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Letter Cardiac & Cardiovascular Systems

Right Ventricular Dilation in Hospitalized Patients With COVID-19 Infection

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JACC-CARDIOVASCULAR IMAGING (2020)

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Article Cardiac & Cardiovascular Systems

Prognostic Value of Right Ventricular Longitudinal Strain in Patients With COVID-19

Yuman Li et al.

JACC-CARDIOVASCULAR IMAGING (2020)

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Article Hematology

ISTH interim guidance on recognition and management of coagulopathy in COVID-19

Jecko Thachil et al.

JOURNAL OF THROMBOSIS AND HAEMOSTASIS (2020)

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Editorial Material Hematology

The versatile heparin in COVID-19

Jecko Thachil

JOURNAL OF THROMBOSIS AND HAEMOSTASIS (2020)

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Letter Medicine, General & Internal

Endothelial cell infection and endotheliitis in COVID-19

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LANCET (2020)

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Article Cardiac & Cardiovascular Systems

Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19)

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JAMA CARDIOLOGY (2020)

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Article Cardiac & Cardiovascular Systems

Association of Cardiac Injury With Mortality in Hospitalized Patients With COVID-19 in Wuhan, China

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JAMA CARDIOLOGY (2020)

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Letter Medicine, General & Internal

Acute Cor Pulmonale in Critically Ill Patients with Covid-19

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NEW ENGLAND JOURNAL OF MEDICINE (2020)

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Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19

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NEW ENGLAND JOURNAL OF MEDICINE (2020)

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Letter Medicine, General & Internal

ST-Segment Elevation in Patients with Covid-19-A Case Series

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NEW ENGLAND JOURNAL OF MEDICINE (2020)

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Article Cardiac & Cardiovascular Systems

Cardiac Involvment in COVID-19-Related Acute Respiratory Distress Syndrome

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AMERICAN JOURNAL OF CARDIOLOGY (2020)

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Pulmonary Angiopathy in Severe COVID-19: Physiologic, Imaging, and Hematologic Observations

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AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2020)

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Impaired cardiac function is associated with mortality in patients with acute COVID-19 infection

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CLINICAL RESEARCH IN CARDIOLOGY (2020)

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The utility of bedside echocardiography in critically ill COVID-19 patients: Early observational findings from three Northern New Jersey hospitals

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ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES (2020)

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Pulmonary hypertension and right ventricular involvement in hospitalised patients with COVID-19

Matteo Pagnesi et al.

HEART (2020)

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Risk factors for myocardial injury and death in patients with COVID-19: insights from a cohort study with chest computed tomography

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CARDIOVASCULAR RESEARCH (2020)

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Cardiac manifestations of COVID-19 in Shenzhen, China

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INFECTION (2020)

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Letter Surgery

Extracorporeal Membrane Oxygenation for Patients With COVID-19 in Severe Respiratory Failure

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JAMA SURGERY (2020)

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Suspected myocardial injury in patients with COVID-19: Evidence from front-line clinical observation in Wuhan, China

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Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome associated with COVID-19: a retrospective cohort study

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LANCET RESPIRATORY MEDICINE (2020)

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Editorial Material Critical Care Medicine

Inhaled nitric oxide in mechanically ventilated patients with COVID-19

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JOURNAL OF CRITICAL CARE (2020)

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Letter Critical Care Medicine

Poor survival with extracorporeal membrane oxygenation in acute respiratory distress syndrome (ARDS) due to coronavirus disease 2019 (COVID-19): Pooled analysis of early reports

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Prevalence and Impact of Myocardial Injury in Patients Hospitalized With COVID-19 Infection

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JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2020)

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Letter Cardiac & Cardiovascular Systems

Echocardiographic Features of COVID-19 Illness and Association with Cardiac Biomarkers

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JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY (2020)

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Indications for and Findings on Transthoracic Echocardiography in COVID-19

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Circulating endothelial progenitors are increased in COVID-19 patients and correlate with SARS-CoV-2 RNA in severe cases

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Prognostic utility of quantitative offline 2D-echocardiography in hospitalized patients with COVID-19 disease

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ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES (2020)

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Transthoracic echocardiographic findings in patients admitted with SARS-CoV-2 infection

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ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES (2020)

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Pathological features of COVID-19-associated myocardial injury: a multicentre cardiovascular pathology study

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EUROPEAN HEART JOURNAL (2020)

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Editorial Material Cardiac & Cardiovascular Systems

The significance of COVID-19-associated myocardial injury: how overinterpretation of scientific findings can fuel media sensationalism and spread misinformation

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EUROPEAN HEART JOURNAL (2020)

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Letter Cardiac & Cardiovascular Systems

Right Ventricular Function and Pulmonary Pressures as Independent Predictors of Survival in Patients With COVID-19 Pneumonia

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JACC-CARDIOVASCULAR IMAGING (2020)

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Cardiac function in relation to myocardial injury in hospitalised patients with COVID-19

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Global evaluation of echocardiography in patients with COVID-19

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Article Cardiac & Cardiovascular Systems

Biventricular strain by speckle tracking echocardiography in COVID-19: findings and possible prognostic implications

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Prognostic Utility of Right Ventricular Remodeling Over Conventional Risk Stratification in Patients With COVID-19

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Extracorporeal membrane oxygenation support in COVID-19: an international cohort study of the Extracorporeal Life Support Organization registry

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LANCET (2020)

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Clinical and computed tomography characteristics of COVID-19 associated acute pulmonary embolism: A different phenotype of thrombotic disease?

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THROMBOSIS RESEARCH (2020)

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Echocardiographic abnormalities and predictors of mortality in hospitalized COVID-19 patients: the ECHOVID-19 study

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ESC HEART FAILURE (2020)

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Review Cardiac & Cardiovascular Systems

Vascular Manifestations of COVID-19 - Thromboembolism and Microvascular Dysfunction

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FRONTIERS IN CARDIOVASCULAR MEDICINE (2020)

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Haemodynamic characteristics of COVID-19 patients with acute respiratory distress syndrome requiring mechanical ventilation. An invasive assessment using right heart catheterization

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Incidence of thrombotic complications and overall survival in hospitalized patients with COVID-19 in the second and first wave

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THROMBOSIS RESEARCH (2020)

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Right ventricular-arterial uncoupling independently predicts survival in COVID-19 ARDS

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CRITICAL CARE (2020)

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Acute right ventricular dysfunction in severe COVID-19 pneumonia

Yun-Long Li et al.

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Inhaled nitric oxide for critically ill Covid-19 patients: a prospective study

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Current and evolving standards of care for patients with ARDS

Mario Menk et al.

INTENSIVE CARE MEDICINE (2020)

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Prone position in ARDS patients: why, when, how and for whom

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Characterization of Myocardial Injury in Patients With COVID-19

Gennaro Giustino et al.

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Right ventricular myopericarditis in COVID-19: a call for regular echocardiography

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MINERVA ANESTESIOLOGICA (2020)

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Emerging Mechanisms of Pulmonary Vasoconstriction in SARS-CoV-2-Induced Acute Respiratory Distress Syndrome (ARDS) and Potential Therapeutic Targets

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Immune mechanisms of pulmonary intravascular coagulopathy in COVID-19 pneumonia

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LANCET RHEUMATOLOGY (2020)

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Letter Critical Care Medicine

Blocking mineralocorticoid receptor with spironolactone may have a wide range of therapeutic actions in severe COVID-19 disease

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CRITICAL CARE (2020)

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Letter Critical Care Medicine

Inhaled nitric oxide in patients admitted to intensive care unit with COVID-19 pneumonia

Guido Tavazzi et al.

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Suggestions for thromboprophylaxis and laboratory monitoring for in-hospital patients with COVID-19

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SWISS MEDICAL WEEKLY (2020)

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Anatomy, Function, and Dysfunction of the Right Ventricle JACC State-of-the-Art Review

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Pathophysiology of the right ventricle and of the pulmonary circulation in pulmonary hypertension: an update

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The prognostic value of pulmonary artery compliance in cardiogenic shock

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Evaluation and Management of Right-Sided Heart Failure A Scientific Statement From the American Heart Association

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CIRCULATION (2018)

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Prognostic Value of Right Ventricular Dysfunction in Heart Failure With Reduced Ejection Fraction Superiority of Longitudinal Strain Over Tricuspid Annular Plane Systolic Excursion

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CIRCULATION-CARDIOVASCULAR IMAGING (2018)

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A potential therapeutic role for angiotensin-converting enzyme 2 in human pulmonary arterial hypertension

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Hypoxic pulmonary vasoconstriction: Building a solid base

Paul McLoughlin

EXPERIMENTAL PHYSIOLOGY (2018)

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Review Critical Care Medicine

Diagnostic workup, etiologies and management of acute right ventricle failure

Antoine Vieillard-Baron et al.

INTENSIVE CARE MEDICINE (2018)

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RV Fractional Area Change and TAPSE as Predictors of Severe Right Ventricular Dysfunction in Pulmonary Hypertension: A CMR Study

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LUNG (2018)

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Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome

A. Combes et al.

NEW ENGLAND JOURNAL OF MEDICINE (2018)

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Article Cardiac & Cardiovascular Systems

Speckle tracking echocardiography and right ventricle dysfunction in acute respiratory distress syndrome: A pilot study

Manuela Bonizzoli et al.

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES (2018)

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Cardiopulmonary Interactions: Physiologic Basis and Clinical Applications

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ANNALS OF THE AMERICAN THORACIC SOCIETY (2018)

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The Relationship Between the Right Ventricle and its Load in Pulmonary Hypertension

Anton Vonk Noordegraaf et al.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2017)

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Effect of Experience and Training on the Concordance and Precision of Strain Measurements

Tomoko Negishi et al.

JACC-CARDIOVASCULAR IMAGING (2017)

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Acute Right Ventricular Dysfunction in Intensive Care Unit

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BIOMED RESEARCH INTERNATIONAL (2017)

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Pearls and pitfalls in comprehensive critical care echocardiography

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CRITICAL CARE (2017)

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Inhibition of hyaluronan synthesis attenuates pulmonary hypertension associated with lung fibrosis

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Review Critical Care Medicine

The Right Ventricle in ARDS

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CHEST (2017)

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Right heart function during acute respiratory distress syndrome

Xavier Repesse et al.

ANNALS OF TRANSLATIONAL MEDICINE (2017)

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Acute cor pulmonale during protective ventilation for acute respiratory distress syndrome: prevalence, predictors, and clinical impact

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INTENSIVE CARE MEDICINE (2016)

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Article Critical Care Medicine

Rationale and Description of Right Ventricle-Protective Ventilation in ARDS

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Angiotensin II Induced Cardiac Dysfunction on a Chip

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PLOS ONE (2016)

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Letter Critical Care Medicine

Right Ventricular Unloading after Initiation of Venovenous Extracorporeal Membrane Oxygenation

Dinis Reis Miranda et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2015)

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Article Critical Care Medicine

Estimating Right Ventricular Stroke Work and the Pulsatile Work Fraction in Pulmonary Hypertension

Denis Chemla et al.

CHEST (2013)

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Physiology of the Pulmonary Circulation and the Right Heart

Robert Naeije

CURRENT HYPERTENSION REPORTS (2013)

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Review Pharmacology & Pharmacy

Pharmacology of levosimendan: inotropic, vasodilatory and cardioprotective effects

A. Pathak et al.

JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS (2013)

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Article Medicine, General & Internal

Prone Positioning in Severe Acute Respiratory Distress Syndrome

Claude Guerin et al.

NEW ENGLAND JOURNAL OF MEDICINE (2013)

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Review Physiology

HYPOXIC PULMONARY VASOCONSTRICTION

J. T. Sylvester et al.

PHYSIOLOGICAL REVIEWS (2012)

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Article Physiology

High-Altitude Pulmonary Edema

Erik R. Swenson et al.

COMPREHENSIVE PHYSIOLOGY (2012)

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Review Critical Care Medicine

Hemodynamic parameters to guide fluid therapy

Paul E. Marik et al.

ANNALS OF INTENSIVE CARE (2011)

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Article Critical Care Medicine

Right Ventricular Oscillatory Power Is a Constant Fraction of Total Power Irrespective of Pulmonary Artery Pressure

Nabil Saouti et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2010)

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Article Cardiac & Cardiovascular Systems

Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: A Report from the American Society of Echocardiography Endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography

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JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY (2010)

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Article Critical Care Medicine

Is there a safe plateau pressure in ARDS? The right heart only knows

Francois Jardin et al.

INTENSIVE CARE MEDICINE (2007)

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Article Critical Care Medicine

Levosimendan improves right ventriculovascular coupling in a porcine model of right ventricular dysfunction

Carlo Missant et al.

CRITICAL CARE MEDICINE (2007)

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Review Physiology

Nitric oxide and peroxynitrite in health and disease

Pal Pacher et al.

PHYSIOLOGICAL REVIEWS (2007)

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Article Critical Care Medicine

Effects of levosimendan on right ventricular afterload in patients with acute respiratory distress syndrome: A pilot study

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CRITICAL CARE MEDICINE (2006)

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Nitric oxide blunts the endothelin-mediated pulmonary vasoconstriction in exercising swine

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Article Multidisciplinary Sciences

Angiotensin-converting enzyme 2 protects from severe acute lung failure

Y Imai et al.

NATURE (2005)

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Article Critical Care Medicine

Effects of norepinephrine and dobutamine on pressure load-induced right ventricular failure

F Kerbaul et al.

CRITICAL CARE MEDICINE (2004)

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