Key result
COVID-19 pneumonia was associated with a significantly higher rate of right ventricular failure compared to non-COVID-19 pneumonia (21% vs 7%, p=0.00433).
Why the study?
COVID-19 causes systemic inflammatory activation that may affect the cardiovascular system, prompting investigation of right ventricular dysfunction among pneumonic COVID-19 versus non-COVID-19 ICU patients.
Does COVID-19 pneumonia increase the occurrence of right ventricular dysfunction compared to non-COVID-19 pneumonia in ICU patients?
Observational (n=200)
Does COVID-19 pneumonia increase the occurrence of right ventricular dysfunction compared to non-COVID-19 pneumonia in ICU patients?
COVID-19 pneumonia is associated with a significantly higher incidence of right ventricular failure and ECG abnormalities compared to non-COVID-19 pneumonia in ICU patients.
May warrant closer RV monitoring in COVID-19 pneumonia; leaves open causality and management implications.
Background: The COVID-19 disease is responsible for a systemic inflammatory activation which may affect the overall cardiovascular system. Aim of the study: investigate the occurrence of right ventricular dysfunction among Pneumonic COVID 19 and non COVID19 patients via echocardiography. Methods: This study is a prospective study that was conducted on 200 patients, divided into two groups: Group one: patients with COVID 19 pneumonia in ICU (n=100). Group two: patients with Non COVID 19 pneumonia in ICU (n=100). Results: Regarding ECG changes ST deviation was higher in covid group (17 patients) as compared with non covid group (7 patients) with p-value (0.02957). Regarding ECG changes AF was higher in covid group (11 patients) as compared with non covid group (one patient) with p-value (0.0193) Regarding Right ventricular failure significantly higher in in COVID group compared to Non-COVID group as 21 patients (21%) belong to COVID group and 7 patients (7%) belong to Non-COVID group with p-value (p=0.00433). Conclusion: The occurrence of right ventricular dysfunction or failure in COVID is higher than non COVID.
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Alaiote et al. (2022) conducted an observational in Pneumonia (n=200). COVID-19 pneumonia vs. Non-COVID-19 pneumonia was evaluated on Right ventricular failure (p=0.00433). COVID-19 pneumonia was associated with a significantly higher rate of right ventricular failure compared to non-COVID-19 pneumonia (21% vs 7%, p=0.00433).
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