Echocardiograms improve treatment for 1 in 3 COVID-19 patients

Ordering echocardiograms can play a key role in the treatment of COVID-19 patients, according to new research out of the U.K. The authors examined data from more than 1,200 patients from 69 different countries, sharing their findings in the European heart Journal – Cardiovascular Imaging.

The team found that approximately one in seven heart scans revealed severe abnormalities expected to “have a major effect” on the patient’s survival and recovery. In addition, one in three patients had their treatment plan changed specifically because of the echocardiogram’s findings.

“COVID-19 is a complex, multisystem disease which can have profound effects on many parts of the body, including the heart,” lead author Marc R. Dweck, a member of the British Heart Foundation and consultant cardiologist at the University of Edinburgh, said in a statement. “Many doctors have been hesitant to order echocardiograms for patients with Covid-19 because it’s an added procedure which involves close contact with patients. Our work shows that these scans are important—they improved the treatment for a third of patients who received them.”

In all, 55% of patients shows signs of “abnormal changes” to the way their heart was pumping. A majority of the patients had no prior history of heart disease.

“Damage to the heart is known to occur in severe flu, but we were surprised to see so many patients with damage to their heart with COVID-19 and so many patients with severe dysfunction,” Dweck added. “We now need to understand the exact mechanism of this damage, whether it is reversible and what the long-term consequences of Covid-19 infection are on the heart.”

Michael Walter
Michael Walter, Managing Editor

Michael has more than 18 years of experience as a professional writer and editor. He has written at length about cardiology, radiology, artificial intelligence and other key healthcare topics.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."