Is there a potential role for echocardiography in adult patients with CAP?

The American Journal of Emergency Medicine
Birdal YıldırımSelmin Dirgen Çaylak

Abstract

The role of echocardiography in adult patients with community-acquired pneumonia (CAP) has not been tested in a clinical trial. The aim of the study was to assess the cardiac changes secondary to CAP by echocardiography and to find out the correlation between echocardiographic findings and the severity of CAP. A total of 111 unselected consecutive adult patients hospitalized with CAP were enrolled. The control group consisted of 100 consecutive sex- and age-matched patients. The severity of CAP was evaluated with the pneumonia severity index and the CURB-65 (confusion, urea, respiratory rate, arterial blood pressure and age) score. Blood samples were taken and echocardiography was performed within the first 48 hours. White blood count, N-terminal pro-brain natriuretic peptide, and red blood cell distribution width were significantly higher in the CAP group compared with the control group. The 2 groups did not differ in terms of left and right ventricle ejection fraction, left atrial diameter, pulmonary artery systolic pressure, and left ventricular end-diastolic and end-systolic diameter. However, tricuspid annular plane systolic excursion (21.1 ± 4.3 vs 22.3 ± 4.1 mm; P = .04), aortic distensibility (2.5 ± 0.9 vs 3.5 ± 0.9 cm(...Continue Reading

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Citations

Aug 19, 2015·The Journal of Infection·Funda Sungur Biteker, Birdal Yıldırım
Aug 25, 2015·The American Journal of Emergency Medicine·Sait DemirkolZekeriya Arslan
Feb 22, 2018·Current Opinion in Pulmonary Medicine·Charles Feldman, Ronald Anderson
Dec 16, 2020·European Journal of Clinical Nutrition·Jong Seok LeeKi Young Jeong
Apr 15, 2018·The Journal of Emergency Medicine·Brit LongAlex Koyfman
Aug 28, 2021·Physiological Reports·Jyotpal SinghPatrick Neary
Apr 24, 2018·The Journal of Emergency Medicine·Funda Sungur BitekerVolkan Doğan
Sep 10, 2019·Heart, Lung & Circulation·Funda Sungur BitekerAysel Gökçek

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