Health Science Journal

  • ISSN: 1108-7366
  • Journal h-index: 51
  • Journal CiteScore: 10.69
  • Journal Impact Factor: 9.13
  • Average acceptance to publication time (5-7 days)
  • Average article processing time (30-45 days) Less than 5 volumes 30 days
    8 - 9 volumes 40 days
    10 and more volumes 45 days
Awards Nomination 20+ Million Readerbase
Indexed In
  • Genamics JournalSeek
  • China National Knowledge Infrastructure (CNKI)
  • CiteFactor
  • CINAHL Complete
  • Scimago
  • Electronic Journals Library
  • Directory of Research Journal Indexing (DRJI)
  • EMCare
  • OCLC- WorldCat
  • University Grants Commission
  • Geneva Foundation for Medical Education and Research
  • Euro Pub
  • Google Scholar
  • Secret Search Engine Labs
Share This Page

TAPSE as a Predictor of Mortality in Hospitalized COVID-19 Patients

XX Congresso Regionale FADOI CAMPANIA: Non ci siamo mai fermati
Italy 2021

Delli Paoli V*, Bresciani A, Cannavale A, Serafino G, Morella P and Laccetti M

U.O.C Medicine, A.O.R.N â�?�?Cardarelliâ�?, Naples, Italy

Posters & Accepted Abstracts: Health Sci J


Background and aims: In this study we compared echocardiographic parameters in COVID 19 patients and assessed the association between tricuspid annular plane systolic excursion (TAPSE) and severity of pulmonary involvement in COVID-19. Materials/patients and methods: We analyzed the tricuspid annular plane systolic excursion (TAPSE), tricuspid valve regurgitation pressure gradient, pulmonary arterial systolic pressure (PAPs) in 20 patients measured using trans-thoracic echocardiography. Patients were divided in two groups: 15 patients were on high flow Oxygen/C-PAP, 5 patients didn’t require Oxygen supplementation. Results: There were 5 deaths, all in C-PAP, usually overweight, smokers and affected by comorbidities. Survivors were younger. In the non-survivors, PAPs was increased (40 ± 10 vs. 20 ± 5 mmHg), while TAPSE was decreased (17 ± 4 vs. 20 ± 4). Compared with survivors, non survivors showed diminished RV function, and elevated pulmonary artery systolic pressure. Tricuspid annular plane systolic excursion and pulmonary artery systolic pressure were significant predictors of higher risk for mortality. Discussion: Bed-side echocardiography with evaluation of Right Ventricular function is a useful predictor of poor outcome in hospitalized COVID-19 patients affected by severe pulmonary involvement. Specifically reduced TAPSE and increased PAPs are associated with an increase in mortality. References 1. D'Alto M, Marra AM, Severino S, Salzano A, Romeo E, et al. (2020) Right ventricular-arterial uncoupling independently predicts survival in COVID-19 ARDS. Crit Care 24: 670. 2. Martha JW, Pranata R, Wibowo A, Lim MA (2021) Tricuspid annular plane systolic excursion (TAPSE) measured by echocardiography and mortality in COVID- 19 : a systematic review and meta- analysis. Int J Infect Dis 105: 351-356.