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Published on: June 12, 2021
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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
Summary
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.
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