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Review
. 2020 Jul;115(1):111-126.
doi: 10.36660/abc.20200370. Epub 2020 Aug 7.

Cardiovascular Imaging and Interventional Procedures in Patients with Novel Coronavirus Infection

[Article in English, Portuguese]
Isabela Bispo Santos da Silva Costa  1 , Carlos Eduardo Rochitte  2 , Carlos M Campos  2 , Silvio Henrique Barberato  3 , Gláucia Maria Moraes de Oliveira  4 , Marcelo Antônio Cartaxo Queiroga Lopes  5 , Cesar Higa Nomura  2 , Alexandre A Abizaid  2 , Giovanni Cerri  2 , Roberto Kalil Filho  2 , Ludhmila Abrahão Hajjar  1
Affiliations
Review

Cardiovascular Imaging and Interventional Procedures in Patients with Novel Coronavirus Infection

[Article in English, Portuguese]
Isabela Bispo Santos da Silva Costa et al. Arq Bras Cardiol. 2020 Jul.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic is a huge challenge to the health system because of the exponential increase in the number of individuals affected. The rational use of resources and correct and judicious indication for imaging exams and interventional procedures are necessary, prioritizing patient, healthcare personnel, and environmental safety. This review was aimed at guiding health professionals in safely and effectively performing imaging exams and interventional procedures.

PubMed Disclaimer

Conflict of interest statement

Potencial Conflito de Interesses

Os autores declaram não haver conflito de interesses pertinentes.

Figures

Figura 1
Figura 1. – Radiografia de tórax e tomografia computadorizada de tórax na COVID-19. RX, radiografia; TC, tomografia computadorizada.
Figura 2
Figura 2. – Recomendações da realização de exames de angiotomografia de artérias coronárias durante a pandemia da COVID-19. ATAC: angiotomografia de artérias coronárias; COVID-19: doença do coronavírus 2019; CVE: cardioversão elétrica; ETE: ecocardiograma transesofágico
Figura 3
Figura 3. – Recomendações de realização de exames de ressonância magnética cardíaca durante a pandemia de COVID-19. COVID-19: doença do coronavírus 2019; RMC: ressonância magnética cardíaca.
Figura 4
Figura 4. – Fluxograma proposto para tratamento de síndromes coronarianas agudas sem supradesnivelamento do segmento ST. COVID-19: doença do coronavírus 2019; SCASSST: síndrome coronariana aguda sem supradesnivelamento do segmento ST; SCA: síndrome coronariana aguda.
Figura 5
Figura 5. – Fluxograma do atendimento de infarto agudo do miocárdio com supradesnivelamento do segmento ST (IAMCSST). Além da estratificação de risco cardiovascular, considerar agilidade para reperfusão, tempo de isquemia, recursos disponíveis para atendimento adequado do paciente. Pela necessidade de atendimento emergencial, todo paciente com IAMCSST deve ser considerado como potencial portador de COVID-19 e tratado de acordo com as medidas de isolamento adequadas até investigação do quadro infeccioso. EPIs: equipamentos de proteção individual; ICP: intervenção coronariana percutânea.
Figura 6
Figura 6. – Procedimentos para paramentação do cardiologista intervencionista em casos suspeitos/confirmados de COVID-19.
Figura 7
Figura 7. – Procedimentos para o cardiologista intervencionista se desparamentar em casos suspeitos/confirmados de COVID-19.
Figure 1
Figure 1. – Chest X-ray (XR) and computed tomography (CT) in COVID-19.
Figure 2
Figure 2. – Recommendations for performing coronary computed tomography angiography during the COVID-19 pandemic. CCTA, coronary computed tomography angiography; TEE, transesophageal echocardiography; ECV, electrical cardioversion.
Figure 3
Figure 3. – Recommendations for performing cardiac magnetic resonance imaging (CMRI) during the COVID-19 pandemic.
Figure 4
Figure 4. – Flowchart for the treatment of non-ST-elevation acute coronary syndromes. NSTE-ACS, non-ST-elevation acute coronary syndrome; ACS, acute coronary syndrome.
Figure 5
Figure 5. – Flowchart for the treatment of ST-elevation acute myocardial infarction (STEMI). In addition to cardiovascular risk stratification, consider readiness to perform reperfusion, ischemia time, and resources available for patient’s proper care. Because of the need for emergency care, all patients with STEMI should be considered as potentially having COVID-19 and treated according to the proper isolation measures until the infection can be thoroughly investigated. PCI, percutaneous coronary intervention.
Figure 6
Figure 6. – Steps for putting on the personal protective equipment in cases of suspected or confirmed COVID-19.
Figure 7
Figure 7. – Steps for removing the personal protective equipment in cases of suspected or confirmed COVID-19.
See this image and copyright information in PMC

References

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