Pulmonary Embolism and Cardiac Tamponade in Critical Care Patients with COVID-19; Telemedicine’s Role in Developing Countries: Case Reports and Literature Review
| Autor: | Dariusz Myrcik, Giustino Varrassi, Abdolreza Dayani, Sameh Salem Taha, Ivan Urits, Omar Viswanath, Farnad Imani, Islam Mohammed Sheata, Heba Kamel, Scott R. Smith |
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| Rok vydání: | 2021 |
| Předmět: |
Telemedicine
medicine.medical_specialty Isolation (health care) Case Report 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine law Intensive care Cardiac tamponade medicine Stroke Limited Echocardiography business.industry COVID-19 Atrial fibrillation medicine.disease Intensive care unit Cardiac Tamponade Pulmonary embolism Anesthesiology and Pain Medicine Emergency medicine Pulmonary Embolism business 030217 neurology & neurosurgery |
| Zdroj: | Anesthesiology and Pain Medicine |
| ISSN: | 2228-7531 2228-7523 |
| DOI: | 10.5812/aapm.113752 |
| Popis: | Introduction: In this study, two cases that demonstrate the importance of bedside echocardiography and hands-off telemedicine technology for diagnosis and intervention in patients with coronavirus disease 2019 (COVID-19) are discussed. Case Presentation: We report two cases of cardiac emergency associated with COVID-19. Case 1 is a 50-year-old female patient with chronic hypertension and chronic renal failure. Case 2 is a 64-year-old female with atrial fibrillation and recent stroke. Both were admitted to an isolation intensive care unit that was designated specifically to patients with COVID-19. Conclusions: During admission, both patients had sudden deterioration characterized by oxygen desaturation and hypotension necessitating inotropic support. As a result, for both patients, bedside echocardiography was performed by the attending inten-sivist. Echocardiographic findings showed cardiac tamponade and acute pulmonary embolism, respectively, which were confirmed by a cardiologist through telemedicine technology. Proper emergency management was initiated, and both patients recovered well. Limited bedside transthoracic echocardiography had a front-line impact on the treatment and outcome of the two patients with COVID-19. By implementing telemedicine technology, the lives of two patients were saved, demonstrating the significance of telemedicine in isolation intensive care units in the developing countries during the COVID-19 pandemic. © 2021, Author(s). |
| Databáze: | OpenAIRE |
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