What are the benefits of using handheld ECHO (HHE) during the COVID-19 pandemic?
Handheld ultrasound devices can deliver point-of-care cardiac assessment and have played a critical role in the COVID-19 era.
The use of point-of-care ultrasound (POCUS) continues to evolve across many specialties. It is widely used in intensive care units, accident and emergency departments, and cardiac arrest scenarios, allowing for a focused assessment in acute settings.
Point-of-care ultrasound is now being used by echocardiography departments and is rapidly becoming the first-line cardiac imaging tool for most in-patients during the COVID-19 pandemic.
So, how are handheld echocardiography devices useful to clinicians during a pandemic?
Using a handheld echocardiography device for patients with COVID-19
Although the COVID-19 clinical syndrome predominantly causes lung disease, cardiac manifestations have also been described. And poorer prognosis has been associated with cases where cardiac involvement has been observed.
Handheld echocardiography (HHE) can be a valuable clinical tool for rapidly assessing the hemodynamic effects of patients infected with SARS-CoV-2 and guiding subsequent management of the COVID-19 clinical syndrome.
Benefits of using handheld ultrasound devices
Handheld ultrasound devices have unique advantages in the current COVID-19 pandemic:
- Easier to use compared to conventional, full-sized echocardiogram machines
- Small and portable
- Relatively low cost
- Easier to decontaminate
Figure 1. Handheld ultrasound (HHE) devices have unique advantages in the COVID-19 pandemic since they are easy to use, small and portable, relatively low cost, and easy to decontaminate.
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Recommended reading
- Chamsi-Pasha, MA, Sengupta, PP, and Zoghbi, WA. 2017. Handheld echocardiography: Current state and future perspectives. Circulation. 136: 2178–2188. PMID: 29180495
- Clerkin, KJ, Fried, JA, Raikhelkar, J, et al. 2020. COVID-19 and cardiovascular disease. Circulation. 141: 1648–1655. PMID: 32200663
- Doyen, D, Moceri, P, Ducreux, D, et al. 2020. Myocarditis in a patient with COVID-19: A cause of raised troponin and ECG changes. Lancet. 395: 1516. PMID: 32334650
- Drake, DH, De Bonis, M, Covella, M, et al. 2020. Echocardiography in pandemic: Front-line perspective, expanding role of ultrasound and ethics of resource allocation. J Am Soc Echocardiogr. 33: 683–689. PMID: 32503707
- Fukuhara, S, Rosati, CM, and El-Dalati, S. 2020. Acute type A aortic dissection during the COVID-19 outbreak. Ann Thorac Surg. 110: e405–e407. PMID: 32333849
- Haji, K, Wong, C, Neil, C, et al. 2019. Handheld ultrasound to reduce requests for inappropriate echocardiogram (HURRIE). Echo Res Pract. 6: 91–96. PMID: 31516721
- Hua, A, O’Gallagher, K, Sado, D, et al. 2020. Life-threatening cardiac tamponade complicating myo-pericarditis in COVID-19. Eur Heart J. 41: 2130. PMID: 32227076
- Johri, AM, Galen, B, Kirkpatrick, JN, et al. 2020. ASE statement on point-of-care ultrasound during the 2019 novel coronavirus pandemic. J Am Soc Echocardiogr. 33: 670–673. PMID: 32503704
- Meyer, P, Degrauwe, S, Van Delden, C, et al. 2020. Typical takotsubo syndrome triggered by SARS-CoV-2 infection. Eur Heart J. 41: 1860. PMID: 32285915
- Neskovic, AN, Hagendorff, A, Lancellotti, P, et al. 2013. Emergency echocardiography: The European association of cardiovascular imaging recommendations. Eur Heart J Cardiovasc Imaging. 14: 1–11. PMID: 23239795
- Nguyen, VTQ, Ho, JE, Ho, CY, et al. 2008. Handheld echocardiography offers rapid assessment of clinical volume status. Am Heart J. 156: 537–542. PMID: 18760138
- Poissy, J, Goutay, J, Caplan, M, et al. 2020. Pulmonary embolism in patients with COVID-19: Awareness of an increased prevalence. Circulation. 142: 184–186. PMID: 32330083
- Shi, S, Qin, M, Shen, B, et al. 2020. Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China. JAMA Cardiol. 5: 802–810. PMID: 32211816
- The American Society of Echocardiography. ASE statement on protection of patients and echocardiography service providers during the 2019 novel coronavirus outbreak. 2020. ASEcho.org. https://www.asecho.org
- The American Society of Echocardiography. Cleaning recommendations from ultrasound manufacturers. 2020. ASEcho.org. https://www.asecho.org
- The Department of Health and Social Care (DHSC), Public Health Wales (PHW), Public Health Agency (PHA) Northern Ireland, Health Protection Scotland (HPS) and Public Health England. COVID-19: Guidance for infection prevention and control in healthcare settings. Version 1.0. 2020. rcslt.org. https://www.rcslt.org
- Zeng, JH, Liu, YX, Yuan, J, et al. 2020. First case of COVID-19 complicated with fulminant myocarditis: A case report and insights. Infection. 48: 773–777. PMID: 32277408