TY  - JOUR
TI  - Differential diagnosis of COVID-19 pneumonia
from acute heart failure in pandemic:
Importance of radiological and laboratory
findings
AB  - Introduction: 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 be 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 (p= 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
AU  - YALÇINSOY, MURAT
AU  - Kasapoglu, Umut Sabri
AU  - Güneş, Ajda
AU  - Karaca, Rukan
AU  - ÇAĞAŞAR, ÖZLEM
AU  - şayan, hasan
AU  - Acun Delen, Leman
AU  - KACMAZ, OSMAN
AU  - Gök, Abdullah
AU  - Pembegul, Irem
DO  - 10.5578/tt.20219807
PY  - 2021
JO  - Tüberküloz ve Toraks
VL  - 69
IS  - 2
SN  - 0494-1373
SP  - 177
EP  - 186
DB  - TRDizin
UR  - http://search/yayin/detay/512451
ER  -