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Integrated clinical role of echocardiography in patients with COVID-19 disease
  1. Chiara Lazzeri,
  2. Manuela Bonizzoli,
  3. Adriano Peris
  1. Osped Univ Careggi, Florence, Italy
  1. Correspondence to Dr Chiara Lazzeri, Osped Univ Careggi, florence, Italy; lazzeric{at}

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To the Editor,

We read with great interest the paper by Pagnesi et al 1 who described the echocardiographic findings in 200 non-critical patients with novel coronavirus (COVID-19) infections, highlighting the role of echocardiography in these patients.

Recent lines of evidence pointed out two main issues underscoring the pivotal role of cardiologists in managing patients with COVID-19 infections.

First is the clinical interpretation of increased troponin levels, described to be common and related with worse prognosis. Investigations combining echocardiographic assessment and troponin measurements reported that serial echocardiograms (and electrocardiograms) failed to detect signs of myocarditis in patients with elevated …

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  • Contributors CL wrote the draft of the document. MB and AP critically revised it.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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  • Correspondence
    Matteo Pagnesi Luca Baldetti Alessandro Beneduce Francesco Calvo Mario Gramegna Vittorio Pazzanese Giacomo Ingallina Antonio Napolano Renato Finazzi Annalisa Ruggeri Silvia Ajello Giulio Melisurgo Paolo Guido Camici Paolo Scarpellini Moreno Tresoldi Giovanni Landoni Fabio Ciceri Anna Mara Scandroglio Eustachio Agricola Alberto Maria Cappelletti