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SARS-CoV-2 Infection and Cardiovascular Disease: COVID-19 Heart

Bishnu P Dhakal1, Nancy K Sweitzer1, Julia H Indik1

  • 1Sarver Heart Center, University of Arizona, Tucson, AZ, USA.

Heart, Lung & Circulation
|July 1, 2020
PubMed

Insights

This review details the cardiac complications of COVID-19, including myocardial injury and arrhythmias. It also proposes a management algorithm for patients during the pandemic.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Internal Medicine

Background:

  • Coronavirus disease (COVID-19), caused by SARS-CoV-2, presents with a spectrum of symptoms.
  • Severe cases can lead to life-threatening cardiovascular and pulmonary complications.
  • Cardiac issues include myocardial injury, arrhythmias, cardiogenic shock, and sudden death.

Purpose of the Study:

  • To summarize the cardiac manifestations of COVID-19 infection.
  • To propose a simplified patient management algorithm for the COVID-19 pandemic.

Main Methods:

  • Literature review of cardiac complications associated with COVID-19.
  • Synthesis of current understanding of cardiovascular manifestations.
  • Development of a clinical management strategy.

Main Results:

  • COVID-19 is associated with significant cardiac complications.
  • Drug interactions with COVID-19 treatments can increase arrhythmia risk.
  • Sudden death is a potential outcome of cardiac involvement.

Conclusions:

  • Cardiac manifestations are a critical concern in COVID-19 patients.
  • A structured approach to patient management is essential.
  • Further research into cardiac sequelae and treatment interactions is warranted.

Keywords:
COVIDCV diseaseCoronavirusMyocarditis

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