Approach to Acute Cardiovascular Complications in COVID-19 Infection. (July 2020)

• Record Type: Journal Article
• Authors: Ranard, Lauren S.; Fried, Justin A.; Abdalla, Marwah; Anstey, D. Edmund; Givens, Raymond C.; Kumaraiah, Deepa; Kodali, Susheel K.; Takeda, Koji; Karmpaliotis, Dimitrios; Rabbani, LeRoy E.; Sayer, Gabriel; Kirtane, Ajay J.; Leon, Martin B.; Schwartz, Allan; Uriel, Nir; Masoumi, Amirali
• Is Part Of: Circulation. Volume 13:Number 7(2020)
• Publication Date: 2020-07
• Subjects: acute coronary syndrome -- cardiovascular diseases -- coronavirus -- heart failure -- myocardial infarction -- shock, cardiogenic; Heart failure -- Periodicals; 616.129005
• DOI: 10.1161/CIRCHEARTFAILURE.120.007220
• Languages: English
• ISSNs: 1941-3289

Abstract

Abstract : The novel coronavirus disease 2019, otherwise known as COVID-19, is a global pandemic with primary respiratory manifestations in those who are symptomatic. It has spread to >187 countries with a rapidly growing number of affected patients. Underlying cardiovascular disease is associated with more severe manifestations of COVID-19 and higher rates of mortality. COVID-19 can have both primary (arrhythmias, myocardial infarction, and myocarditis) and secondary (myocardial injury/biomarker elevation and heart failure) cardiac involvement. In severe cases, profound circulatory failure can result. This review discusses the presentation and management of patients with severe cardiac complications of COVID-19 disease, with an emphasis on a Heart-Lung team approach in patient management. Furthermore, it focuses on the use of and indications for acute mechanical circulatory support in cardiogenic and/or mixed shock.