loading page

Speckle-Tracking of Left Ventricle by Transesophageal Echocardiography in a Patient with COVID-19
  • +2
  • Jeanette Wehit,
  • Fernando Sosa,
  • Pablo Merlo,
  • Javier Roberti,
  • Javier Osatnik
Jeanette Wehit
Hospital Aleman
Author Profile
Fernando Sosa
Hospital Aleman
Author Profile
Pablo Merlo
Hospital General de Agudos Bernardino Rivadavia
Author Profile
Javier Roberti
Author Profile
Javier Osatnik
Hospital Aleman
Author Profile

Abstract

A 68-year-old male presented with flu-like symptoms, fatigue, history of obesity, hypertension, type II diabetes and chronic smoking. Chest radiography revealed right basal opacity consisting of infiltrate. With respiratory failure, orotracheal intubation and mechanical ventilation were performed. Patient presented gas exchange alteration. Real-time PCR detected SARS-CoV-2. Treatment with liponavir/ritonavir and hydroxychloroquine was started. Because of poor acoustic window, speckle-tracking transoesophageal echocardiography (TEE) was performed, detecting deterioration in global longitudinal strain. On day 15, the patient suffered bacteraemic sepsis at endovascular focus with Serratia marcescens and multiorgan failure. TEE-guided haemodynamic monitoring was repeated showing global longitudinal strain improvement.