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Cardiovascular complications in COVID-19

Brit Long1, William J Brady2, Alex Koyfman3

  • 1Brooke Army Medical Center, Department of Emergency Medicine, 3841 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States.

The American Journal of Emergency Medicine
|April 23, 2020
PubMed

Insights

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause significant cardiovascular complications, including heart failure and arrhythmias. Emergency clinicians must recognize these risks in patients with coronavirus disease 2019 (COVID-19).

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), presents with systemic inflammation and pulmonary issues.
  • Beyond respiratory effects, cardiovascular complications are a significant concern in COVID-19 patients.

Purpose of the Study:

  • To evaluate the spectrum of cardiovascular complications associated with COVID-19 infection.
  • To inform emergency clinicians about potential cardiac manifestations in COVID-19 patients.

Main Methods:

  • This report is a brief review of existing literature and clinical observations regarding COVID-19 and cardiovascular health.
  • Analysis of reported cases and scientific literature on SARS-CoV-2 interactions with the cardiovascular system.

Main Results:

  • SARS-CoV-2 infection can lead to systemic inflammation, multiorgan dysfunction, and critical illness.
  • Cardiovascular complications include myocardial injury, myocarditis, acute myocardial infarction, heart failure, dysrhythmias, and venous thromboembolic events.
  • Potential interactions between COVID-19 therapies and cardiovascular medications exist.

Conclusions:

  • Emergency clinicians must maintain a high index of suspicion for cardiovascular complications in patients presenting with COVID-19.
  • Prompt recognition and management of cardiac issues are crucial for improving outcomes in COVID-19 patients.
Abstract

Keywords:
Acute myocardial infarctionCOVID-19CardiovascularDysrhythmiaHeart failureInfectious diseaseMyocarditisTroponin

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