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Published on: July 18, 2014
Heart failure in general and cardiac transplant patients with COVID-19
Munish Sharma1, Gowthami Sai Kogilathota Jagirdhar2, Kalpalatha K Guntupalli3
1Department of Medicine, Baylor College of Medicine, Houston, TX 77030, United States.
Insights
Coronavirus disease 2019 (COVID-19) can cause heart failure (HF), either new or worsening existing conditions. Managing HF in COVID-19 patients is crucial for their prognosis.
Area of Science:
- Cardiology
- Infectious Diseases
- Internal Medicine
Background:
- COVID-19 primarily affects the respiratory system but has multisystem implications.
- Cardiac complications are common in COVID-19, including acute myocardial injury, arrhythmias, and heart failure.
- Heart failure (HF) in COVID-19 can be a new diagnosis or an exacerbation of pre-existing cardiovascular disease.
Purpose of the Study:
- To review the impact of the COVID-19 pandemic on patients with pre-existing or new-onset heart failure.
- To summarize current data on the clinical presentation and management of heart failure in the context of COVID-19.
- To provide insights into special recommendations for managing heart failure during the pandemic.
Main Methods:
- Literature review of prevailing data and prior studies.
- Analysis of clinical presentation and management challenges.
- Synthesis of guidelines and recommendations.
Main Results:
- COVID-19 poses significant challenges to the management of heart failure patients.
- Multisystem manifestations of COVID-19 can complicate cardiac care.
- Prognosis is affected by the interplay between COVID-19 and heart failure.
Conclusions:
- Heart failure is a critical consideration in COVID-19 patient care.
- Effective management strategies are essential for improving outcomes.
- Further research and updated guidelines are needed to address HF in COVID-19.
Abstract:
Coronavirus disease 2019 (COVID-19) is primarily an infection of the respiratory tract, but it can have multisystem manifestations. Cardiac complications of COVID-19 can range from acute myocardial injury, cardiac arrhythmias, or heart failure, amongst others. Heart failure (HF) in COVID-19 can be a de novo process or due to worsening of pre-existing cardiovascular ailment. HF in a patient with COVID-19 not only poses challenges in clinical presentation and management of COVID-19 but also affect prognosis of the patient. This article aims to succinctly revisit the implications of this pandemic regarding pre-existing HF or new-onset HF based on prevailing data. It also focuses on the management and special recommendations from prior studies and guidelines.
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