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Year : 2022  |  Volume : 11  |  Issue : 1  |  Page : 6-12

Inpatient cardiology consultation for COVID-19: What are cardiologists' diagnostic approaches?

1 Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
2 Department of Medicine, Norwalk Hospital, Connecticut, United States
3 Department of Cardiology and Pneumology, University of Göttingen Medical Center, Heart Center, Göttingen, Germany
4 Department of Cardiology, National Research Institute of Tuberculosis and Lung Disease, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 Department of Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
6 Department of Cardiology, Shariati Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
7 Department of Cardiology, Imam Reza Hospital, Shiraz University of Medical Sciences, Lar, Iran
8 Department of Cardiology, Babol University of Medical Sciences, Babol, Iran
9 Department of Cardiology, Velayat Hospital, Qazvin University of Medical Sciences, Qazvin, Iran
10 Department of Cardiology, Ahvaz Jundishapour University of Medical Sciences, Imam Khomeini Hospital, Ahvaz, Iran
11 Department of Cardiology and Pneumology, University of Göttingen Medical Center and German Center for Cardiovascular Research (DZHK), Partner Site Göttingen, Göttingen, Germany

Correspondence Address:
Dr. Ahmad Amin
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Vali-Asr Ave, Niyayesh Blvd, Tehran
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/rcm.rcm_45_21

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Aim: Despite concerns about cardiovascular implications in coronavirus disease-2019 (COVID-19) patients, not all COVID-19 patients are visited by cardiologists and recommended to perform comprehensive cardiovascular assessments including measurement of biomarkers and echocardiography. We aimed to investigate the reasons for seeking cardiology care and to assess our cardiologists' diagnostic approaches to COVID-19 patients with potential cardiovascular involvement. Methods and Results: In this prospective, observational study, data of all consecutive COVID-19 patients admitted to six designated hospitals for COVID-19 in Iran in whom bedside cardiology consultation was requested were collected. A total of 148 patients including 105 (71%) males were included. The mean age was 57 ± 17 years. The most common reasons for cardiology consultation were dyspnea (56.7%), chest pain (12.8%), and suspected arrhythmias (10.8%). The most common comorbidities were hypertension (40.5%), diabetes mellitus (19.6%), and coronary heart disease (18.9%). A 12-lead electrocardiography (ECG) was obtained in all patients. Point-of-care ultrasonography or limited transthoracic echocardiography (TTE) was performed in 106 (71.6%) patients, and complete TTE was performed in 35 (23.4%) patients. Cardiac troponin was measured in 63 (42.6%) patients, and N-terminal pro B-type natriuretic peptide level was measured in 34 (23%) patients. Overall, 51 (34.5%) patients underwent invasive mechanical ventilation, inotropes were used in 29 (19.6%) patients, and 40 (27%) patients died. Conclusions: While preventing unnecessary investigations, the cardiologists should not overlook the lifesaving role of ubiquitous diagnostic modalities (such as ECG and TTE) in early detection and management of cardiac involvement in COVID-19.

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