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Table 1 Recommended investigations for COVID-19

From: Rapid guide to the management of cardiac patients during the COVID-19 pandemic in Egypt: “a position statement of the Egyptian Society of Cardiology”

CBC

Leukopenia, leukocytosis, and lymphopenia

CRP

Elevated

Lactate dehydrogenase and ferritin

Elevated

Liver enzymes: SGOT, SGPT

Elevated

Urea, creat

Elevated

PT, PTT, INR

Elevated

D dimer

Elevated

C&S

May be bacterial infection

Cardiac enzymes

ELEVATED

ABG

HYPOXIA

CXR

may reveal pulmonary infiltrates

Nasoharyngeal swab for PCR.

The test is a real-time reverse transcription-polymerase chain reaction (rRT-PCR) assay that can be used to diagnose the virus in respiratory and serum samples from clinical specimens.

The highest rates of positive results included BAL fluid (14/15; 93%), sputum (75/104; 72%), nasal swabs (5/8; 63%), brush biopsy (6/13; 46%), pharyngeal swabs (126/398; 32%), feces (44/153; 29%), blood (3/307; 1%), and urine (0/72; 0%). Nasal swabs were found to contain the most virus.

CT CHEST

Peripheral distribution (80%)

Ground-glass opacity (91%)

Fine reticular opacity (56%)

Vascular thickening (59%)

Central and peripheral distribution (14%)

Pleural effusion (4.1%)

Lymphadenopathy (2.7%)

ECG

Ischemia, arrhythmias, conduction delays

ECHO

Diastolic dysfunction

LV systolic dysfunction

Myocarditis, endocarditis, pericarditis