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Covid 19 and its cardiovascular effects.

Amit Rastogi1, Prabhat Tewari1

  • 1Department of Anaesthesiology, SGPGI, Lucknow, Uttar Pradesh, India.

Annals of Cardiac Anaesthesia
|October 28, 2020
PubMed
Summary

The COVID-19 pandemic impacts multiple organ systems, with 20-30% of hospitalized patients experiencing cardiovascular issues. Pre-existing heart conditions worsen COVID-19 severity and mortality, leading to myocardial damage and arrhythmias.

Keywords:
ArrythmiaCOVID-19Cardiac InjurySARS -COV 2cardiacmyocarditismyocardium

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • The COVID-19 pandemic, initially recognized for pulmonary effects, now demonstrates widespread organ system involvement.
  • Cardiovascular complications are increasingly observed in COVID-19 patients, affecting 20-30% of those hospitalized.

Purpose of the Study:

  • To investigate the spectrum and mechanisms of cardiovascular involvement in COVID-19 patients.
  • To assess the impact of pre-existing cardiac conditions on COVID-19 severity and outcomes.

Main Methods:

  • Observational analysis of hospitalized COVID-19 patients.
  • Review of clinical data focusing on cardiovascular manifestations and patient history.

Main Results:

  • Pre-existing cardiovascular disease significantly increases the risk of severe COVID-19 infection and mortality.
  • Severe COVID-19 is associated with myocardial damage and various arrhythmias.
  • Cardiovascular involvement can manifest as a wide spectrum, from asymptomatic cases to severe cardiovascular syndromes, and may appear even after recovery.

Conclusions:

  • COVID-19 poses a significant threat to cardiovascular health, irrespective of initial pulmonary symptoms.
  • Understanding the mechanisms of cardiac injury in COVID-19 is crucial for patient management and prognosis.
  • Long-term cardiovascular surveillance is warranted for recovered COVID-19 patients due to the risk of delayed complications like cardiomyopathies and arrhythmias.