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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
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Cardiovascular complications of COVID-19

Y S A Lo1, C Jok2, H F Tse3,4

  • 1Faculty of Medicine School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong.

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|May 31, 2022
PubMed

Insights

Coronavirus disease 2019 (COVID-19) can cause severe cardiac injury, leading to poor outcomes. This review details COVID-19 cardiovascular complications, their causes, and supportive management strategies.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Cardiac injury in COVID-19 patients is linked to high mortality.
  • Understanding cardiovascular complications is crucial for patient management.

Purpose of the Study:

  • To review the literature on COVID-19-related cardiovascular complications.
  • To elucidate the causes, diagnosis, and management of these complications.

Main Methods:

  • Literature review of COVID-19 cardiovascular complications.
  • Analysis of putative causes, diagnostic markers, and treatment strategies.

Main Results:

  • Causes include cytokine storm, myocarditis, plaque rupture, hypercoagulability, and stress cardiomyopathy.
  • Elevated cardiac troponin, D-dimer, and NT-proBNP indicate poorer prognosis.
  • COVID-19-associated coronary thrombosis may have a higher burden; thromboprophylaxis is often indicated.

Conclusions:

  • Management is primarily supportive, with no specific treatments beyond interventions for acute myocardial infarction.
  • The role of early antiviral and monoclonal antibody therapies in preventing severe cardiovascular complications requires further investigation.

Keywords:
AnticoagulantsCOVID-19MyocarditisNatriuretic peptide, brainVenous thromboembolism

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