Sandbox:Mitra2: Difference between revisions

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*CT: [[Cardiomegaly]], [[Pulmonary edema]]
*CT: [[Cardiomegaly]], [[Pulmonary edema]]
*MRI: Signs of underlying myocarditis may be seen
*MRI: Signs of underlying myocarditis may be seen
| style="background: #F5F5F5; padding: 5px;" | Increased [[NT-proBNP]], cardiac [[troponin]]s
| style="background: #F5F5F5; padding: 5px;" | Increased [[NT-proBNP]] and cardiac [[troponin]]s levels
|-
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-associated pneumonia]]
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-associated pneumonia]]
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*CT: Bilateral intesrtitial edema
*CT: Bilateral intesrtitial edema
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-associated myocarditis]]
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |
*Pericardial effusion may be detectable
| style="background: #F5F5F5; padding: 5px;" |
* Non-specific:may show nonspecific ST-T abnormalities, sinus tachycardia and conduction abnormalities (such as bundle-branch blocks or atrioventricular conduction delays)
| style="background: #F5F5F5; padding: 5px;" |
*Non-specific: In fulminant myocarditis cardiac chamber sizes are usually normal with an increased septal thickness (secondary to acute myocardial edema), whereas in acute myocarditis marked left ventricular dilation and normal wall thickness might be seen.
*Pericardial effusion may be be seen.
| style="background: #F5F5F5; padding: 5px;" |
*CMR: T2-weighted edema imaging shows the presence of “acute myocardial inflammation”. "Late gadolinium enhancement (LGE) imaging” can demonstrate myocardial damage.
| style="background: #F5F5F5; padding: 5px;" | Increased cardiac [[troponin]]s level
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-associated pulmonary embolism]]
| style="background: #F5F5F5; padding: 5px;" |✔ (Usually sudden-onset)
| style="background: #F5F5F5; padding: 5px;" |✔ (Pleauritic)
| style="background: #F5F5F5; padding: 5px;" |✔ (If massive PE)
| style="background: #F5F5F5; padding: 5px;" |✔ (Low-grade)
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |
*May show Fleischner sign (enlarged pulmonary artery), [[Hampton hump]], [[Westermark's sign]]
| style="background: #F5F5F5; padding: 5px;" |
* Non-specific:may show S1Q3T3 pattern
| style="background: #F5F5F5; padding: 5px;" |
*May show signs of RV strain, Rv dilatation, Rv dysfunction (if large PE)
| style="background: #F5F5F5; padding: 5px;" |
*On CT angiography: Intra-luminal filling defect
*On MRI: Narrowing of involved vessel
*No contrast seen distal to obstruction
*Polo-mint sign (partial filling defect surrounded by contrast)
| style="background: #F5F5F5; padding: 5px;" |
*Increased D-dimer, fibrinogen, fibrin degradation products
*May have symptoms and/or signs of accompanying DVT

Revision as of 16:43, 20 July 2020

Diseases Symptoms Physical Examination Diagnostic tests Other Findings
Dyspnea on Exertion Chest Pain Hemoptysis Fever Tachypnea Tachycardia Chest X-ray EKG Echocardiography> CT scan and MRI
COVID-associated heart failure - -
  • Cardiomegaly
  • Pulmonary edema (interstitial, alveolar)
  • LVH
  • Low-voltage
  • Non-specific ST-T change
Increased NT-proBNP and cardiac troponins levels
COVID-associated pneumonia ✔ (Usually high]] (Pleuritic)
  • Consalidation
  • Prolonged PR interval
  • Transient T wave inversions
-
  • CT: Consalidation, reticulonodular pattern
Increased inflammatory markers, including ESR, hs-CRP
COVID-associated ARDS -
  • Bilateral ground-glass opacities
-
  • Signs of RV dysfunction/RV dilatation may be seen
  • CT: Bilateral intesrtitial edema
-
COVID-associated myocarditis -
  • Pericardial effusion may be detectable
  • Non-specific:may show nonspecific ST-T abnormalities, sinus tachycardia and conduction abnormalities (such as bundle-branch blocks or atrioventricular conduction delays)
  • Non-specific: In fulminant myocarditis cardiac chamber sizes are usually normal with an increased septal thickness (secondary to acute myocardial edema), whereas in acute myocarditis marked left ventricular dilation and normal wall thickness might be seen.
  • Pericardial effusion may be be seen.
  • CMR: T2-weighted edema imaging shows the presence of “acute myocardial inflammation”. "Late gadolinium enhancement (LGE) imaging” can demonstrate myocardial damage.
Increased cardiac troponins level
COVID-associated pulmonary embolism ✔ (Usually sudden-onset) ✔ (Pleauritic) ✔ (If massive PE) ✔ (Low-grade)
  • Non-specific:may show S1Q3T3 pattern
  • May show signs of RV strain, Rv dilatation, Rv dysfunction (if large PE)
  • On CT angiography: Intra-luminal filling defect
  • On MRI: Narrowing of involved vessel
  • No contrast seen distal to obstruction
  • Polo-mint sign (partial filling defect surrounded by contrast)
  • Increased D-dimer, fibrinogen, fibrin degradation products
  • May have symptoms and/or signs of accompanying DVT