Arq Bras CardiolabcArquivos Brasileiros de CardiologiaArq. Bras. Cardiol.0066-782X1678-4170Sociedade Brasileira de Cardiologia - SBCgpWtkjMVSSqgtZ9t7QLByQkS0066-782X2021001000415abc.2020135610.36660/abc.20201356Carta ao EditorImagem Cardiovascular em Pacientes com COVID-190000-0003-0078-7897MungmungpuntitpantipRujittika10000-0003-1039-3728WiwanitkitViroj1Dr. DY Patil UniversityPuneÍndiaDr. DY Patil University, Pune – ÍndiaCorrespondência: Rujittika Mungmungpuntitpantip • Private Academic Consultant, Bangkok Thailand bangkok 1039 - Tailândia. E-mail: rujittika@gmail.com060920210820211172415415221220201002202110022021This is an open-access article distributed under the terms of the Creative Commons Attribution LicensePalavras-chave:Doenças CardiovascularesPneumopatiasCoronavírusCOVID-19PandemiaDiagnóstico por ImagemPacientes Assimtomáticos
Caro Editor,
Gostaríamos de compartilhar ideias relacionadas à publicação “Imagem Cardiovascular em Pacientes com COVID-19.”1 Grossman e Lima concluíram que “cardiologistas nucleares e médicos nucleares devem estar cientes dos achados incidentais em pacientes assintomáticos com COVID-19 e devem otimizar os protocolos de CPM, quando o procedimento for necessário.”1 Os resultados desse estudo estão de acordo com um relato anterior da Ásia.2 A imagem pode ajudar a identificar problemas cardíacos e pulmonares que podem ocorrer de modo assintomático devido à COVID-19 ou a uma patologia silenciosa anterior.2 Um ponto importante é o diagnóstico diferencial da lesão nova e da patologia anterior subjacente. Nos países tropicais, pode existir uma patologia comum, como a tuberculose, que resulta em dificuldades de interpretação de novos problemas cardíacos e pulmonares devido à COVID-19.3 Considerando-se que a interpretação das imagens depende principalmente do radiologista, torna-se necessário que os radiologistas tenham maior consciência e cuidado ao interpretar as imagens clínicas durante a pandemia de COVID-19.
ReferênciasGrossmanGBLimaRLCardiovascular Imaging in Patients with COVID-19Arq Bras Cardiol20201111559739741. Grossman GB, Lima RL. Cardiovascular Imaging in Patients with COVID-19. Arq Bras Cardiol. 2020 Nov;115(5):973-4.AttavirayanuparukthamBAbnormal heart imaging in COVID-19 patients: a noteAdv Lab Med Int20201018192. Attavirayanuparuktham B. Abnormal heart imaging in COVID-19 patients: a note. Adv Lab Med Int. 2020;10:18-9.YasriSWiwanitkitVTuberculosis and novel Wuhan coronavirus infection: Pathological interrelationshipIndian J Tuberc2020046722642643. Yasri S, Wiwanitkit V. Tuberculosis and novel Wuhan coronavirus infection: Pathological interrelationship. Indian J Tuberc. 2020 Apr;67(2):264.Letter to the EditorCardiovascular Imaging in COVID-190000-0003-0078-7897MungmungpuntitpantipRujittika10000-0003-1039-3728WiwanitkitViroj1PuneIndiaDr. DY Patil University, Pune – IndiaMailing Address: Rujittika Mungmungpuntitpantip • Private Academic Consultant, Bangkok Thailand bangkok 1039 - Tailândia. E-mail: rujittika@gmail.comKeywordsCardiovascular DiseasesLung DiseasesCoronavirusCOVID-19PandemicsDiagnostic ImagingAsymptomatic Patients
Dear Editor,
We would like to share ideas on the publication “Cardiovascular Imaging in Patients with COVID-19.”1 Grossman and Lima concluded that “nuclear cardiologists and nuclear medicine physicians must be aware of incidental findings in asymptomatic patients with COVID-19, and they should optimize MPI protocols, when the procedure is necessary.”1 The results in this study are concordant with a previous report from Asia.2 Imaging can help identify both heart and lung problems that might asymptomatically occur due to COVID-19 or a previous silent pathology.2 An important point is the differential diagnosis of the new lesion and the previous underlying pathology. In tropical countries, there might be a common pathology, such as tuberculosis, that results in difficulty in interpreting new heart and lung problems due to COVID-19.3 Since image interpretation depends mainly on the radiologist, it is necessary for radiologists to increase awareness and concern when interpreting clinical images during the COVID-19 pandemic.