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Published on: February 1, 2022
In the eye of the storm: the right ventricle in COVID-19
John F Park1, Somanshu Banerjee1, Soban Umar1
1Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Insights
The SARS-CoV-2 virus, causing COVID-19, can impact the heart
Area of Science:
- Cardiology
- Infectious Diseases
- Pulmonology
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, has led to significant global health issues.
- While cardiovascular manifestations are known, the effects on the right ventricle are not well understood.
- The right ventricle is particularly vulnerable to dysfunction during COVID-19.
Purpose of the Study:
- To investigate the impact of SARS-CoV-2 on right ventricle function.
- To identify potential mechanisms leading to right ventricle dysfunction in COVID-19 patients.
Main Methods:
- This study reviews existing literature and pathophysiological mechanisms.
- Analysis of cardiovascular presentations associated with SARS-CoV-2 infection.
Main Results:
- Potential mechanisms for right ventricle dysfunction include increased afterload (ARDS, PE), cytokine effects, and direct cardiac injury via ACE2.
- Right ventricle dysfunction is a significant concern in COVID-19.
Conclusions:
- Early identification and management of right ventricle dysfunction are crucial.
- Addressing right ventricle dysfunction may improve outcomes and reduce mortality in COVID-19 patients.
Abstract:
The corona virus disease of 2019 pandemic caused by the SARS-CoV-2 virus continues to inflict significant morbidity and mortality around the globe. A variety of cardiovascular presentations of SARS-CoV-2 infection have been described so far. However, the impact of SARS-CoV-2 on the right ventricle is largely unknown. Due to its pathophysiologic relevance, the right ventricle finds itself in the eye of the storm of corona virus disease of 2019, placing it at higher risk of failure. Increased afterload from acute respiratory distress syndrome and pulmonary embolism, negative inotropic effects of cytokines, and direct angiotensin converting enzyme 2-mediated cardiac injury from SARS-CoV-2 are potential mechanisms of right ventricle dysfunction in corona virus disease of 2019. Early detection and treatment of right ventricle dysfunction may lead to decreased mortality and improved patient outcomes in corona virus disease of 2019.
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