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Comment
. 2021 Oct 1;49(10):1832-1835.
doi: 10.1097/CCM.0000000000005172.

Coronavirus Disease 2019: There Is a Heart Between the Lungs

Frederic Michard  1 , Filipe Gonzalez  2
Affiliations
Comment

Coronavirus Disease 2019: There Is a Heart Between the Lungs

Frederic Michard et al. Crit Care Med. .
No abstract available

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Conflict of interest statement

Dr. Michard disclosed that he is the founder and managing director of michardconsulting.com (MiCo), a Swiss consulting and research firm. MiCo does not sell any medical products, and Dr. Michard does not own shares nor receive royalties from any medical device company. Dr. Gonzalez has disclosed that he does not have any potential conflicts of interest.

Figures

Figure 1.
Figure 1.
Examples of hardware and software innovations contributing to the rise of point of care ultrasound (POCUS) evaluations in critically ill patients, in particular those with coronavirus disease 2019 (1). Light and easy to move POCUS system used by Chotalia et al (4), from Philips Healthcare (Andover, MA) with permission; (2) pocket size echo-Doppler device, from GE HealthCare (Chicago, IL) with permission; (3 and 4) on-chip digital microbeamforming probe to be connected to a smartphone, enabling the simultaneous visualization of a transversal and longitudinal view to facilitate vascular access, from Butterfly Network (Guilford, CT) with permission; (5 and 6) software enabling the automatic measurement of the subaortic velocity time integral (VTI) and of the inferior vena cava (IVC) diameter respiratory variations; (7 and 8) speckle tracking software enabling the automatic quantification of the right ventricular free wall longitudinal strain (RV FWLS) and of the left ventricular global longitudinal strain (LV GLS) which are markers of myocardium shortening; (9) machine learning-enabled real-time measurement of left ventricular ejection fraction (LVEF), from GE Healthcare with permission.
See this image and copyright information in PMC

Comment on

References

    1. Michard F, Vieillard-Baron A: Critically ill patients with COVID-19: Are they hemodynamically unstable and do we know why? Intensive Care Med. 2021; 47:254–255 - PMC - PubMed
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    1. Chotalia M, Ali M, Alderman JE, et al. : Right Ventricular Dysfunction and Its Association With Mortality in Coronavirus Disease 2019 Acute Respiratory Distress Syndrome. Crit Care Med. 2021; 49:1757–1768 - PMC - PubMed
    1. Vieillard-Baron A, Schmitt JM, Augarde R, et al. : Acute cor pulmonale in acute respiratory distress syndrome submitted to protective ventilation: Incidence, clinical implications, and prognosis. Crit Care Med. 2001; 29:1551–1555 - PubMed