[Acute and chronic cardiac involvement in COVID-19]

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Dietrich Beitzke1

  • 1Universitätsklinik für Radiologie und Nuklearmedizin, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich. dietrich.beitzke@meduniwien.ac.at.

Der Radiologe
|September 16, 2021
PubMed

Insights

Coronavirus disease 2019 (COVID-19) frequently causes cardiac complications, affecting up to 50% of patients. Imaging diagnostics are crucial for assessing these cardiovascular issues during and after infection.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • COVID-19 primarily affects the lungs but commonly involves the cardiovascular system.
  • Cardiac complications arise from systemic infection, direct myocardial injury (myocarditis, pericarditis), hypoxia, or thromboembolism.
  • Pre-existing cardiovascular conditions significantly worsen COVID-19 prognosis.

Purpose of the Study:

  • To review cardiac involvement and complications associated with COVID-19 infections.
  • To highlight the role of diagnostic imaging in managing cardiac manifestations of COVID-19.

Main Methods:

  • Comprehensive literature search of the PubMed database.
  • Review of studies on cardiac involvement and complications of COVID-19.
  • Inclusion of clinical experience in managing these cases.

Main Results:

  • Cardiac involvement occurs in up to 50% of COVID-19 patients, varying with infection severity.
  • Key cardiac manifestations include ischemic and inflammatory conditions.
  • Echocardiography, cardiac MRI, and cardiac CT are vital imaging tools.

Conclusions:

  • Cardiac involvement is a significant aspect of COVID-19.
  • Advanced imaging modalities like MRI and CT are essential for detailed cardiac assessment.
  • Imaging plays a critical role in both acute and post-infectious phases of COVID-19 cardiac complications.
Abstract

Keywords:
Cardiac computed tomographyCardiac magnetic resonance imagingCardiovascular diseaseMyocarditisPericarditis

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