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Cardiac Manifestations of Viral Infections, Including COVID-19: A Review

Hillary Weisleder1, Eliana Jacobson1, William H Frishman2

  • 1From the New York Medical College, Valhalla, NY.

Cardiology in Review
|February 2, 2023
PubMed

Insights

Viral infections can cause various heart problems, including myocarditis and arrhythmias. Early diagnosis and management are key for these often self-limiting cardiac conditions.

Area of Science:

  • Cardiology
  • Virology
  • Pathophysiology

Background:

  • Viral infections are increasingly recognized as a significant cause of cardiac pathology.
  • Conditions range from acute myocarditis and pericarditis to dilated cardiomyopathy and arrhythmias.
  • Coronavirus disease-2019 (COVID-19) presents unique challenges in understanding its cardiovascular effects.

Approach:

  • Systematic literature review on the cardiovascular effects of diverse viral infections.
  • Focused update on the pathophysiology of COVID-19 related cardiac manifestations.
  • Analysis of clinical presentations and diagnostic considerations.

Key Points:

  • Viral infections can manifest with a wide spectrum of cardiac pathology.
  • Cardiac involvement in viral illnesses is often self-limiting.
  • Variable clinical presentations necessitate high clinical suspicion for accurate diagnosis.

Conclusions:

  • Understanding the link between viral infections and cardiac conditions is crucial.
  • Optimal management relies on prompt diagnosis and tailored therapeutic strategies.
  • Further research into COVID-19's cardiovascular pathophysiology is ongoing.

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