Cardiovascular manifestations and treatment considerations in COVID-19
Since its recognition in December 2019, covid-19 has rapidly spread globally causing a pandemic. Pre-existing comorbidities such as hypertension, diabetes, and cardiovascular disease are associated with a greater severity and higher fatality rate of covid-19. Furthermore, COVID-19 contributes to car...
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| Published in | Heart (British Cardiac Society) Vol. 106; no. 15; pp. 1132 - 1141 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BMJ Publishing Group Ltd and British Cardiovascular Society
01.08.2020
BMJ Publishing Group LTD BMJ Publishing Group |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Since its recognition in December 2019, covid-19 has rapidly spread globally causing a pandemic. Pre-existing comorbidities such as hypertension, diabetes, and cardiovascular disease are associated with a greater severity and higher fatality rate of covid-19. Furthermore, COVID-19 contributes to cardiovascular complications, including acute myocardial injury as a result of acute coronary syndrome, myocarditis, stress-cardiomyopathy, arrhythmias, cardiogenic shock, and cardiac arrest. The cardiovascular interactions of COVID-19 have similarities to that of severe acute respiratory syndrome, Middle East respiratory syndrome and influenza. Specific cardiovascular considerations are also necessary in supportive treatment with anticoagulation, the continued use of renin-angiotensin-aldosterone system inhibitors, arrhythmia monitoring, immunosuppression or modulation, and mechanical circulatory support. |
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| AbstractList | Since its recognition in December 2019, covid-19 has rapidly spread globally causing a pandemic. Pre-existing comorbidities such as hypertension, diabetes, and cardiovascular disease are associated with a greater severity and higher fatality rate of covid-19. Furthermore, COVID-19 contributes to cardiovascular complications, including acute myocardial injury as a result of acute coronary syndrome, myocarditis, stress-cardiomyopathy, arrhythmias, cardiogenic shock, and cardiac arrest. The cardiovascular interactions of COVID-19 have similarities to that of severe acute respiratory syndrome, Middle East respiratory syndrome and influenza. Specific cardiovascular considerations are also necessary in supportive treatment with anticoagulation, the continued use of renin-angiotensin-aldosterone system inhibitors, arrhythmia monitoring, immunosuppression or modulation, and mechanical circulatory support. Since its recognition in December 2019, covid-19 has rapidly spread globally causing a pandemic. Pre-existing comorbidities such as hypertension, diabetes, and cardiovascular disease are associated with a greater severity and higher fatality rate of covid-19. Furthermore, COVID-19 contributes to cardiovascular complications, including acute myocardial injury as a result of acute coronary syndrome, myocarditis, stress-cardiomyopathy, arrhythmias, cardiogenic shock, and cardiac arrest. The cardiovascular interactions of COVID-19 have similarities to that of severe acute respiratory syndrome, Middle East respiratory syndrome and influenza. Specific cardiovascular considerations are also necessary in supportive treatment with anticoagulation, the continued use of renin-angiotensin-aldosterone system inhibitors, arrhythmia monitoring, immunosuppression or modulation, and mechanical circulatory support.Since its recognition in December 2019, covid-19 has rapidly spread globally causing a pandemic. Pre-existing comorbidities such as hypertension, diabetes, and cardiovascular disease are associated with a greater severity and higher fatality rate of covid-19. Furthermore, COVID-19 contributes to cardiovascular complications, including acute myocardial injury as a result of acute coronary syndrome, myocarditis, stress-cardiomyopathy, arrhythmias, cardiogenic shock, and cardiac arrest. The cardiovascular interactions of COVID-19 have similarities to that of severe acute respiratory syndrome, Middle East respiratory syndrome and influenza. Specific cardiovascular considerations are also necessary in supportive treatment with anticoagulation, the continued use of renin-angiotensin-aldosterone system inhibitors, arrhythmia monitoring, immunosuppression or modulation, and mechanical circulatory support. |
| Author | Ferrari, Victor Kang, Yu Scherrer-Crosbie, Marielle Chen, Yucheng Chen, Tiffany Jagasia, Dinesh Mui, David Han, Yuchi |
| AuthorAffiliation | 1 Cardiovascular Medicine , University of Pennsylvania Perelman School of Medicine , Philadelphia , Pennsylvania , USA 2 University of Pennsylvania Perelman School of Medicine , Philadelphia , Pennsylvania , USA 3 Department of Cardiology , West China Hospital, Sichuan University , Chengdu , China |
| AuthorAffiliation_xml | – name: 3 Department of Cardiology , West China Hospital, Sichuan University , Chengdu , China – name: 1 Cardiovascular Medicine , University of Pennsylvania Perelman School of Medicine , Philadelphia , Pennsylvania , USA – name: 2 University of Pennsylvania Perelman School of Medicine , Philadelphia , Pennsylvania , USA |
| Author_xml | – sequence: 1 givenname: Yu surname: Kang fullname: Kang, Yu organization: Cardiovascular Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA – sequence: 2 givenname: Tiffany orcidid: 0000-0003-3768-3143 surname: Chen fullname: Chen, Tiffany organization: Cardiovascular Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA – sequence: 3 givenname: David surname: Mui fullname: Mui, David organization: University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA – sequence: 4 givenname: Victor surname: Ferrari fullname: Ferrari, Victor organization: Cardiovascular Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA – sequence: 5 givenname: Dinesh surname: Jagasia fullname: Jagasia, Dinesh organization: Cardiovascular Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA – sequence: 6 givenname: Marielle surname: Scherrer-Crosbie fullname: Scherrer-Crosbie, Marielle organization: Cardiovascular Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA – sequence: 7 givenname: Yucheng orcidid: 0000-0002-0601-8039 surname: Chen fullname: Chen, Yucheng organization: Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China – sequence: 8 givenname: Yuchi orcidid: 0000-0001-7582-1848 surname: Han fullname: Han, Yuchi email: yuchi.han@pennmedicine.upenn.edu organization: Cardiovascular Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32354800$$D View this record in MEDLINE/PubMed |
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| Keywords | cardiac risk factors and prevention myocarditis systemic inflammatory diseases |
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38 Vaduganathan (2024111103150792000_106.15.1132.51) 2020 Hoffmann (2024111103150792000_106.15.1132.10) 2020 2024111103150792000_106.15.1132.49 2024111103150792000_106.15.1132.46 Grasselli (2024111103150792000_106.15.1132.79) 2020 (2024111103150792000_106.15.1132.5) 2020; 2 2024111103150792000_106.15.1132.86 2024111103150792000_106.15.1132.43 Ramanathan (2024111103150792000_106.15.1132.69) 2020 2024111103150792000_106.15.1132.87 2024111103150792000_106.15.1132.40 2024111103150792000_106.15.1132.84 2024111103150792000_106.15.1132.41 2024111103150792000_106.15.1132.85 2024111103150792000_106.15.1132.83 Yao (2024111103150792000_106.15.1132.15) 2020; 49 Han (2024111103150792000_106.15.1132.45) 2020 2024111103150792000_106.15.1132.80 Fohner (2024111103150792000_106.15.1132.61) 2017; 27 2024111103150792000_106.15.1132.81 Liu (2024111103150792000_106.15.1132.42) 2020 Arentz (2024111103150792000_106.15.1132.34) 2020 Zou (2024111103150792000_106.15.1132.14) 2020 2024111103150792000_106.15.1132.39 2024111103150792000_106.15.1132.37 Sugiura (2024111103150792000_106.15.1132.30) 1977; 18 2024111103150792000_106.15.1132.38 Croft (2024111103150792000_106.15.1132.76) 2018; 67 2024111103150792000_106.15.1132.36 2024111103150792000_106.15.1132.77 2024111103150792000_106.15.1132.78 2024111103150792000_106.15.1132.75 Xu (2024111103150792000_106.15.1132.82) 2020; 8 2024111103150792000_106.15.1132.32 2024111103150792000_106.15.1132.74 2024111103150792000_106.15.1132.71 2024111103150792000_106.15.1132.72 Fardet (2024111103150792000_106.15.1132.65) 2014; 66 2024111103150792000_106.15.1132.1 2024111103150792000_106.15.1132.8 Shi (2024111103150792000_106.15.1132.7) 2020 2024111103150792000_106.15.1132.9 2024111103150792000_106.15.1132.6 2024111103150792000_106.15.1132.4 Wang (2024111103150792000_106.15.1132.31) 2020; 41 2024111103150792000_106.15.1132.2 2024111103150792000_106.15.1132.28 2024111103150792000_106.15.1132.3 2024111103150792000_106.15.1132.29 Inciardi (2024111103150792000_106.15.1132.35) 2020 2024111103150792000_106.15.1132.26 2024111103150792000_106.15.1132.27 2024111103150792000_106.15.1132.24 2024111103150792000_106.15.1132.68 2024111103150792000_106.15.1132.25 Badawi (2024111103150792000_106.15.1132.73) 2016; 49 2024111103150792000_106.15.1132.22 Sommerstein (2024111103150792000_106.15.1132.48) 2020; 368 2024111103150792000_106.15.1132.66 2024111103150792000_106.15.1132.23 2024111103150792000_106.15.1132.67 2024111103150792000_106.15.1132.20 2024111103150792000_106.15.1132.64 2024111103150792000_106.15.1132.21 Lakkireddy (2024111103150792000_106.15.1132.63) 2020 2024111103150792000_106.15.1132.62 2024111103150792000_106.15.1132.60 Klok (2024111103150792000_106.15.1132.44) 2020 Tang (2024111103150792000_106.15.1132.47) 2020 |
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