The virus infection Covid-19 fills our hospitals and intensive care departments in a very unique way and there is a lack of essential insight into the pathophysiology of the disease. As a result, very specific treatment options are missing. The US Medicines Agency (FDA) has in the last days given a general license for treatment with inhaled nitric oxide (iNO). Inhaled NO in Sweden (and Europe) is approved for the indication of pulmonary hypertension in adults. However, no one has yet described the occurrence of pulmonary hypertension, with or without right ventricular loading, in the Covid-19 patients who become so seriously ill that they need to be treated at an IVA ward. Knowledge of this is, of course, a prerequisite for determining the need for pulmonary artery catheterization (PA catheter, Swan-Ganz catheter) and also to better understand whether iNO treatment or other forms of lung selective vasodilation therapy may be of benefit to this patient group.
Demographics and data from study variables will be documented in paper CRFs at the
investigational site.
- Demography
o Age, sex
- Covid-19 related variables
o COVID-19 diagnosis
- Concomitant diseases
o Comorbidity, previous and present
- Cardiovascular risk factors
o Smoking
- Laboratory values
- On-site measurements o Evaluation with echocardiography
Inclusion Criteria:
- Men and women at least 18 years of age
- Diagnosed with COVID-19 and is treated at an intensive care unit.
Exclusion Criteria:
- Responsible investigator considers that co-morbidity is so pronounced that it does not
allow reasonable interpretation of data.
- Missing verified diagnosis of COVID-19
Karolinska University Hospital
Stockholm, Sweden
Per-Arne Lönnqvist, Professor, Principal Investigator
Karolinska Institutet