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However, evidence showed that, even if the prevalence of COVID\u201019 damage consists in pulmonary lesions and symptoms, it could also affect other organs, such as heart, liver, and spleen. Particularly, some infected patients refer to the emergency department for cardiovascular symptoms, and around 10% of COVID\u201019 victims had finally developed heart injury. Therefore, the use of echocardiography, according to the safety local protocols and ensuring the use of personal protective equipment, could be useful firstly to discriminate between primary cardiac disease or COVID\u201019\u2013related myocardial damage, and then for assessing and monitoring COVID\u201019 cardiovascular complications: acute myocarditis and arrhythmias, acute heart failure, sepsis\u2010induced myocardial impairment, and right ventricular failure derived from treatment with high\u2010pressure mechanical ventilation. The present review aims to enlighten the applications of transthoracic echocardiography for the diagnostic and therapeutic management of myocardial damage in COVID\u201019 patients.<\/jats:p>","DOI":"10.1111\/echo.14779","type":"journal-article","created":{"date-parts":[[2020,7,12]],"date-time":"2020-07-12T14:44:20Z","timestamp":1594565060000},"page":"1278-1286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Usefulness of echocardiography to detect cardiac involvement in COVID\u201019 patients"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3872-8964","authenticated-orcid":false,"given":"Matteo","family":"Cameli","sequence":"first","affiliation":[{"name":"Department of Medical Biotechnologies Division of Cardiology University of Siena Siena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7223-141X","authenticated-orcid":false,"given":"Maria Concetta","family":"Pastore","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies Division of Cardiology University of Siena Siena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hatem","family":"Soliman Aboumarie","sequence":"additional","affiliation":[{"name":"Adult Intensive Care Unit Royal Brompton and Harefield NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia Elena","family":"Mandoli","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies Division of Cardiology University of Siena Siena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavio","family":"D'Ascenzi","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies Division of Cardiology University of Siena Siena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Cameli","sequence":"additional","affiliation":[{"name":"Department of Clinical Medical and Neurosciences, Respiratory Disease and Lung Transplantation Section Le Scotte Hospital University of Siena Siena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Bigio","sequence":"additional","affiliation":[{"name":"Anesthesiology Unit Alta Val D'Elsa Hospital Siena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Franchi","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, Anesthesia and Intensive Care University of Siena Siena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Mondillo","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies Division of Cardiology University of Siena Siena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serafina","family":"Valente","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies Division of Cardiology University of Siena Siena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,12]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"WHO Director\u2010General's opening remarks at the media briefing on COVID\u201019 \u2010 3 May 2020.https:\/\/www.who.int\/docs\/default\u2010source\/coronaviruse\/situation\u2010reports\/20200503\u2010covid\u201019\u2010sitrep\u2010104.pdf?sfvrsn=53328f46_2. 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