Central European Annals of Clinical Research

(ISSN: 2668-7305) Open Access Journal
Follow us:
Rss Feed:

Central European Annals of Clinical Research (CEACR) is no longer published on JAMS (the publishing platform provided by MDPI) as of 10.07.2021. The articles published until that date are archived at ceacr.archive.jams.pub by courtesy of JAMS.

CEACR 2020, 2(1), 4; doi: 10.35995/ceacr2010004

Point-of-Care Cardiac Ultrasound in COVID-19 Intensive Care Unit

Received: 31 Jul 2020 / Revised: 9 Aug 2020 / Accepted: 19 Aug 2020 / Published: 14 Sep 2020
View Full-text Download PDF (625kb)


(1) Background: Coronavirus disease 2019 (COVID-19) is associated with the development of Acute COVID-19 Cardiovascular Syndrome (ACovCS) in critically ill patients. In this case series, we evaluated the incidence of ACovCS by ultrasound in critically COVID-19 ill patients. (2) Methods: This case series included all patients with confirmed COVID-19 requiring admission to the ICU at Monaldi Hospital (AORN Ospedale dei Colli, Naples), between March 14th, 2020, and May 1st, 2020. On admission, in stable clinical conditions, an experienced and certified intensivist performed Point-Of-Care Cardiac Ultrasound (POC-CU). The exam was performed daily in every patient and repeated according to clinical evolution and intensivist’s judgment during the length of stay. Ex-Novo ACovCS echocardiographic patterns were noted. (3) Results: POC-CU evaluation performed on 19 patients revealed that, on admission, five patients (26.3%) presented an echocardiographic pattern like cor pulmonale. During the length of stay, seven patients (36.8%) presented ex-Novo echocardiographic alterations, suggesting ACovCS. Pericardial effusion (26.3%), acute right impairment due to pulmonary embolism (5.3%) and acute left impairment by wall motion alteration (5.3%) were the most common findings. (4) Conclusions: Ex-Novo cardiac abnormalities shown by POC-CU were common in patients with severe COVID-19. Competence in POC-CU is essential in identifying ACovCS in COVID-ICU and clinical decision-making.
Keywords: SARS-CoV-2; COVID-19; coronavirus; point-of-care ultrasound; echocardiography; cardiovascular syndrome
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
De Rosa, R.C.; Romanelli, A.; Colonna, R.; Minale, A.; Corcione, A. Point-of-Care Cardiac Ultrasound in COVID-19 Intensive Care Unit. CEACR 2020, 2, 4.
De Rosa RC, Romanelli A, Colonna R, Minale A, Corcione A. Point-of-Care Cardiac Ultrasound in COVID-19 Intensive Care Unit. Central European Annals of Clinical Research. 2020; 2(1):4.
De Rosa, Rosanna Carmela; Romanelli, Antonio; Colonna, Roberto; Minale, Annunziata; Corcione, Antonio. 2020. "Point-of-Care Cardiac Ultrasound in COVID-19 Intensive Care Unit." CEACR 2, no. 1: 4.
Not implemented