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Value of Echocardiography Combined with Lung Ultrasound in The Diagnosis and Treatment of Coronavirus Disease 2019 (COVID-19) Pneumonia
Fankun Meng
Ultrasound and Functional Diagnosis Center, Beijing You An Hospital, Capital Medical University
Corresponding Author
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Purpose: To investigate relationships between echocardiography results and lung ultrasound score (LUS) in COVID-19 pneumonia patients, and the value of their combined application for evaluating COVID-19 pneumonia in diagnosis and treatment.
Methods: Hospitalized patients underwent lung ultrasound and echocardiography daily. Patients with tricuspid regurgitation within 3 days after admission were collected, and the correlations and differences between pulmonary artery pressures and LUS on days 3, 8, and 13 were compared. The inner diameter of the pulmonary artery root and the sizes of the atria and ventricles were observed.
Results: Pulmonary artery pressure within 3 days was positively correlated with LUS (r = 0.448, p = 0.003; r = 0.738, p = 0.000; r = 0.325, p = 0.036). On day 8 the values of both were higher than the corresponding values on days 3 and 13 (p < 0.01). On day 8 the positive rate for increased pulmonary artery pressure was 92.9%(39/42), the positive rate for increased LUS was 90.5%(38/42), and the combined positive rate for the two was 97.6%(41/42). On day 8 the inner diameters of the right atrium, right ventricle, and pulmonary artery differed significantly from the corresponding values on days 3 and 13 (p < 0.05).
Conclusions: Pulmonary arterial pressure is positively correlated with LUS. The two should be combined for more informative assessment of the status of recovery from COVID-19 pneumonia.
Keywords
echocardiography, LUS, COVID-19, pulmonary arterial pressure
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CURRENT STATUS: Under Review
Version 1
Posted 17 Dec, 2020
No community comments so far
Review #1 received
Received 19 Dec, 2020
Reviewers invited
Invitations sent on 16 Dec, 2020
Reviewer #1 agreed
On 16 Dec, 2020
Editor assigned
On 14 Dec, 2020
Submission checks complete
On 14 Dec, 2020
Editor invited
On 14 Dec, 2020
First submitted
On 12 Dec, 2020
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Subject Areas
Cardiac & Cardiovascular Systems
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This preprint is under consideration at Cardiovascular Ultrasound. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Value of Echocardiography Combined with Lung Ultrasound in The Diagnosis and Treatment of Coronavirus Disease 2019 (COVID-19) Pneumonia
Fankun Meng
Ultrasound and Functional Diagnosis Center, Beijing You An Hospital, Capital Medical University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 17 Dec, 2020
No community comments so far
Review #1 received
Received 19 Dec, 2020
Reviewers invited
Invitations sent on 16 Dec, 2020
Reviewer #1 agreed
On 16 Dec, 2020
Editor assigned
On 14 Dec, 2020
Submission checks complete
On 14 Dec, 2020
Editor invited
On 14 Dec, 2020
First submitted
On 12 Dec, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Cardiac & Cardiovascular Systems
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Purpose: To investigate relationships between echocardiography results and lung ultrasound score (LUS) in COVID-19 pneumonia patients, and the value of their combined application for evaluating COVID-19 pneumonia in diagnosis and treatment.
Methods: Hospitalized patients underwent lung ultrasound and echocardiography daily. Patients with tricuspid regurgitation within 3 days after admission were collected, and the correlations and differences between pulmonary artery pressures and LUS on days 3, 8, and 13 were compared. The inner diameter of the pulmonary artery root and the sizes of the atria and ventricles were observed.
Results: Pulmonary artery pressure within 3 days was positively correlated with LUS (r = 0.448, p = 0.003; r = 0.738, p = 0.000; r = 0.325, p = 0.036). On day 8 the values of both were higher than the corresponding values on days 3 and 13 (p < 0.01). On day 8 the positive rate for increased pulmonary artery pressure was 92.9%(39/42), the positive rate for increased LUS was 90.5%(38/42), and the combined positive rate for the two was 97.6%(41/42). On day 8 the inner diameters of the right atrium, right ventricle, and pulmonary artery differed significantly from the corresponding values on days 3 and 13 (p < 0.05).
Conclusions: Pulmonary arterial pressure is positively correlated with LUS. The two should be combined for more informative assessment of the status of recovery from COVID-19 pneumonia.
Figure 1
Figure 1
Figure 2
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Figure 2