The role of cardiovascular imaging for myocardial injury in hospitalized COVID-19 patients
The role of cardiovascular imaging for myocardial injury in hospitalized COVID-19 patients
复制标题
DOI：
10.1093/ehjci/jeaa136
复制
发表时间：
2020-07-01
影响因子：
6.2
通讯作者：
Edvardsen, Thor
中科院分区：
文献类型：
--
作者：
Cosyns, Bernard;Lochy, Stijn;Edvardsen, Thor
EACVI最近的建议描述了在COVID-19大流行期间限制心血管成像的重要性，以减少病毒传播，保护医疗保健专业人员免受污染，并减少个人防护装备的消耗。然而，肌钙蛋白升高仍然是COVID-19患者心脏成像的常见要求，部分原因是它表明由各种原因引起的心脏损伤，部分原因是已知它传达了较差的预后。本文旨在指导临床医生在肌钙蛋白升高和心肌损伤的情况下进行心脏成像的适当性，如何最好地解读心肌损伤的机制，以及如何指导患者的管理。
Recent EACVI recommendations described the importance of limiting cardiovascular imaging during the COVID-19 pandemic in order to reduce virus transmission, protect healthcare professionals from contamination, and reduce consumption of personal protective equipment. However, an elevated troponin remains a frequent request for cardiac imaging in COVID-19 patients, partly because it signifies cardiac injury due to a variety of causes and partly because it is known to convey a worse prognosis. The present paper aims to provide guidance to clinicians regarding the appropriateness of cardiac imaging in the context of troponin elevation and myocardial injury, how best to decipher the mechanism of myocardial injury, and how to guide patient management.