SCREENING HIGH RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST AMONG PATIENTS UNDERGOING CARDIAC INTERVENTIONS DURING COVID-19 PANDEMIC; RADIOLOGICAL FINDINGS AND CLINICAL ASSOCIATIONS

Objective: To study the HRCT chest findings in patients undergoing cardiac interventions during COVID-19 era. Study Design: Cross sectional analytical study. Place and Duration of Study: Armed Forces Institute of Cardiology & National Institute of Heart Disease (AFIC/NIHD) Rawalpindi, from...

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Autores principales:	Waseem Raja, Mohsin Saif, Bushra Nayyar, Syed Aown Raza Shah Bokhari
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	computed tomography chest cardiac covid-19 Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4def986fa2ba4f248f2a60f11f3606a6
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spelling	oai:doaj.org-article:4def986fa2ba4f248f2a60f11f3606a62021-12-02T14:54:29ZSCREENING HIGH RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST AMONG PATIENTS UNDERGOING CARDIAC INTERVENTIONS DURING COVID-19 PANDEMIC; RADIOLOGICAL FINDINGS AND CLINICAL ASSOCIATIONS0030-96482411-8842https://doaj.org/article/4def986fa2ba4f248f2a60f11f3606a62020-09-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5245https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To study the HRCT chest findings in patients undergoing cardiac interventions during COVID-19 era. Study Design: Cross sectional analytical study. Place and Duration of Study: Armed Forces Institute of Cardiology & National Institute of Heart Disease (AFIC/NIHD) Rawalpindi, from Apr 2020 to May 2020. Methodology: All the admitted cardiac patients who were to undergo any invasive cardiac intervention underwent plain HRCT chest and polymerase chain Reaction (PCR) for SARS-CoV-2 simultaneously. One hundred and ten patients were studied. We analyzed preexisting respiratory illnesses, clinical, echocardiographic and radiological features. Data recording, storage, assessment and analysis was done by using SPSS-21. Results: Our study included 110 patients (87 Male, 23 Female, median age 52 Years). Common reasons for admission were coronary angiography 43 (39.1%), acute Left Ventricular Failure (LVF) 30 (27.3%), Percutaneous Coronary Intervention (PCI) 13 (11.8%) and chest pain evaluation 10 (9.1%). Cardiomegaly (29.1%) followed by consolidation (9.1%) were commonest radiological finding. Two third patients had abnormal HRCT chest but only few had radiological findings either suspicious (6.4%) or indeterminate (11.8%) for COVID-19. Respiratoy symptoms, positive PCR for COVID-19 and severe Left ventricular dysfunctions were correlated with abnormal HRCT findings, correlation being statistically significant (p-value <0.05). Conclusion: HRCT chest is a non-invasive and highly sensitive imaging modality, which can rapidly help in identifying, and isolating suspected cases of novel corona virus as well as in diagnosing unknown pre-existing lung diseases in cardiac patients.Waseem RajaMohsin SaifBushra NayyarSyed Aown Raza Shah BokhariArmy Medical College Rawalpindiarticlecomputed tomography chestcardiaccovid-19MedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 2, Pp 527-532 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	computed tomography chest cardiac covid-19 Medicine R Medicine (General) R5-920
spellingShingle	computed tomography chest cardiac covid-19 Medicine R Medicine (General) R5-920 Waseem Raja Mohsin Saif Bushra Nayyar Syed Aown Raza Shah Bokhari SCREENING HIGH RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST AMONG PATIENTS UNDERGOING CARDIAC INTERVENTIONS DURING COVID-19 PANDEMIC; RADIOLOGICAL FINDINGS AND CLINICAL ASSOCIATIONS
description	Objective: To study the HRCT chest findings in patients undergoing cardiac interventions during COVID-19 era. Study Design: Cross sectional analytical study. Place and Duration of Study: Armed Forces Institute of Cardiology & National Institute of Heart Disease (AFIC/NIHD) Rawalpindi, from Apr 2020 to May 2020. Methodology: All the admitted cardiac patients who were to undergo any invasive cardiac intervention underwent plain HRCT chest and polymerase chain Reaction (PCR) for SARS-CoV-2 simultaneously. One hundred and ten patients were studied. We analyzed preexisting respiratory illnesses, clinical, echocardiographic and radiological features. Data recording, storage, assessment and analysis was done by using SPSS-21. Results: Our study included 110 patients (87 Male, 23 Female, median age 52 Years). Common reasons for admission were coronary angiography 43 (39.1%), acute Left Ventricular Failure (LVF) 30 (27.3%), Percutaneous Coronary Intervention (PCI) 13 (11.8%) and chest pain evaluation 10 (9.1%). Cardiomegaly (29.1%) followed by consolidation (9.1%) were commonest radiological finding. Two third patients had abnormal HRCT chest but only few had radiological findings either suspicious (6.4%) or indeterminate (11.8%) for COVID-19. Respiratoy symptoms, positive PCR for COVID-19 and severe Left ventricular dysfunctions were correlated with abnormal HRCT findings, correlation being statistically significant (p-value <0.05). Conclusion: HRCT chest is a non-invasive and highly sensitive imaging modality, which can rapidly help in identifying, and isolating suspected cases of novel corona virus as well as in diagnosing unknown pre-existing lung diseases in cardiac patients.
format	article
author	Waseem Raja Mohsin Saif Bushra Nayyar Syed Aown Raza Shah Bokhari
author_facet	Waseem Raja Mohsin Saif Bushra Nayyar Syed Aown Raza Shah Bokhari
author_sort	Waseem Raja
title	SCREENING HIGH RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST AMONG PATIENTS UNDERGOING CARDIAC INTERVENTIONS DURING COVID-19 PANDEMIC; RADIOLOGICAL FINDINGS AND CLINICAL ASSOCIATIONS
title_short	SCREENING HIGH RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST AMONG PATIENTS UNDERGOING CARDIAC INTERVENTIONS DURING COVID-19 PANDEMIC; RADIOLOGICAL FINDINGS AND CLINICAL ASSOCIATIONS
title_full	SCREENING HIGH RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST AMONG PATIENTS UNDERGOING CARDIAC INTERVENTIONS DURING COVID-19 PANDEMIC; RADIOLOGICAL FINDINGS AND CLINICAL ASSOCIATIONS
title_fullStr	SCREENING HIGH RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST AMONG PATIENTS UNDERGOING CARDIAC INTERVENTIONS DURING COVID-19 PANDEMIC; RADIOLOGICAL FINDINGS AND CLINICAL ASSOCIATIONS
title_full_unstemmed	SCREENING HIGH RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST AMONG PATIENTS UNDERGOING CARDIAC INTERVENTIONS DURING COVID-19 PANDEMIC; RADIOLOGICAL FINDINGS AND CLINICAL ASSOCIATIONS
title_sort	screening high resolution computed tomography (hrct) chest among patients undergoing cardiac interventions during covid-19 pandemic; radiological findings and clinical associations
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/4def986fa2ba4f248f2a60f11f3606a6
work_keys_str_mv	AT waseemraja screeninghighresolutioncomputedtomographyhrctchestamongpatientsundergoingcardiacinterventionsduringcovid19pandemicradiologicalfindingsandclinicalassociations AT mohsinsaif screeninghighresolutioncomputedtomographyhrctchestamongpatientsundergoingcardiacinterventionsduringcovid19pandemicradiologicalfindingsandclinicalassociations AT bushranayyar screeninghighresolutioncomputedtomographyhrctchestamongpatientsundergoingcardiacinterventionsduringcovid19pandemicradiologicalfindingsandclinicalassociations AT syedaownrazashahbokhari screeninghighresolutioncomputedtomographyhrctchestamongpatientsundergoingcardiacinterventionsduringcovid19pandemicradiologicalfindingsandclinicalassociations
_version_	1718389381500239872

SCREENING HIGH RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST AMONG PATIENTS UNDERGOING CARDIAC INTERVENTIONS DURING COVID-19 PANDEMIC; RADIOLOGICAL FINDINGS AND CLINICAL ASSOCIATIONS

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