Differential diagnosis of COVID-19 pneumonia from acute heart failure in pandemic: Importance of radiological and laboratory findings

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dc.authoridkaçmaz, osman/0000-0002-1219-7758
dc.authoridKasapoglu, Umut Sabri/0000-0003-2869-9872
dc.authoridYalçınsoy, Murat/0000-0003-3407-7359
dc.authoridAcun Delen, Leman/0000-0001-9441-6979
dc.authorid/0000-0003-1659-3392
dc.authoridPembegul, Irem/0000-0002-4609-1580
dc.authorwosidkaçmaz, osman/GXG-6745-2022
dc.authorwosidPembegul, Irem/HJA-2191-2022
dc.authorwosidKasapoglu, Umut Sabri/F-1786-2019
dc.authorwosidYalçınsoy, Murat/ABI-1421-2020
dc.contributor.authorKasapogu, Umut Sabri
dc.contributor.authorGok, Abdullah
dc.contributor.authorDelen, Leman Acun
dc.contributor.authorSayan, Hasan
dc.contributor.authorKacmaz, Osman
dc.contributor.authorCagasar, Ozlem
dc.contributor.authorKaraca, Rukan
dc.date.accessioned2024-08-04T20:10:08Z
dc.date.available2024-08-04T20:10:08Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction: COVID-19 pneumonia typically presents with high fever, cough, and shortness of breath and on thorax computed tomography (CT) peripheral ground glass opacities help the diagnosis. Although typical imaging findings for COVID-19 pneumonia are specified in thorax CT, these findings can confused with other diseases. The aim of this study is to investigate the roles of radiological imaging and laboratory findings in the differential diagnosis of COVID-19 pneumonia and acute heart failure (AHF). Materials and Methods: In the present study, 74 patients who admitted to the emergency department with respiratory distress during the pandemic period and received a diagnosis of COVID-19 pneumonia and AHF were included. Laboratory data and radiological findings of the patients, at the time of admission, were evaluated. Results: On admission, there was no difference in age, gender between two groups. However, COVID-19 exposure history was found significantly higher in COVID-19 pneumonia patients group (p< 0.001). Fever, cough, and fatigue were found significantly higher in the COVID-19 pneumonia patients group (p< 0.001). There was difference of lesions distribution between the two groups, centrally distributed lesions were found significantly higher in acute heart failure patients (p< 0.001). Pleural effusion and cardiomegaly were found significantly higher in AHF patients (p< 0.001, p< 0.001). Counts of the white blood cells and lymphocytes were found significantly lower in COVID-19 pneumonia patients 0.003, p= 0.009). COVID-19 pneumonia patients had significantly higher levels of CRP ferritin, LDH and CK compared with AHF patients (p< 0.001, p< 0.001, p= 0.002, p= 0.013). However the level of NT-proBNP was found significantly higher in the AHF patients group (p< 0.001). Conclusion: We believe that laboratory data and thorax CT findings can provide beneficial clinical information in differentiating COVID-19 pneumonia from AHF during the pandemic.en_US
dc.identifier.doi10.5578/tt.20219807
dc.identifier.endpage186en_US
dc.identifier.issn0494-1373
dc.identifier.issue2en_US
dc.identifier.pmid34256508en_US
dc.identifier.scopus2-s2.0-85111424851en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage177en_US
dc.identifier.trdizinid512451en_US
dc.identifier.urihttps://doi.org/10.5578/tt.20219807
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/512451
dc.identifier.urihttps://hdl.handle.net/11616/92605
dc.identifier.volume69en_US
dc.identifier.wosWOS:000670437700006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Tuberculosis & Thoraxen_US
dc.relation.ispartofTuberkuloz Ve Toraks-Tuberculosis and Thoraxen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOVID-19en_US
dc.subjectpneumoniaen_US
dc.subjectacute heart failureen_US
dc.subjectcomputed tomographyen_US
dc.subjectground glass opacityen_US
dc.titleDifferential diagnosis of COVID-19 pneumonia from acute heart failure in pandemic: Importance of radiological and laboratory findingsen_US
dc.typeArticleen_US

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