COVID-19 and the cardiovascular system: A review of current data, summary of best practices, outline of controversies, and illustrative case reports

As the severe acute respiratory syndrome coronavirus 2 virus pandemic continues to grow globally, an association is apparent between patients with underlying cardiovascular disease comorbidities and the risk of developing severe COVID-19. Furthermore, there are potential cardiac manifestations of se...

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Bibliographic Details
Published in:The American heart journal 2020-08, Vol.226, p.174-187
Main Authors: Prasad, Anand, Panhwar, Siyab, Hendel, Robert C., Sheikh, Omar, Mushtaq, Zunair, Dollar, Fatima, Vinas, Ariel, Alraies, Chadi, Almonani, Ahmed, Nguyen, Tung Huy, Amione-Guerra, Javier, Foster, Mark T., Sisson, Craig, Anderson, Allen, George, Jon C., Kutkut, Issa, Guareña Casillas, Jorge Armando, Badin, Auroa
Format: Article
Language:English
Subjects:
Abnormalities
Acute Coronary Syndrome - epidemiology
Adult
Age Factors
Aged
Angiotensin Receptor Antagonists - adverse effects
Angiotensin Receptor Antagonists - therapeutic use
Angiotensin-Converting Enzyme Inhibitors - adverse effects
Arrhythmias, Cardiac - etiology
Betacoronavirus
Biomarkers - blood
Cardiac Catheterization
Cardiopulmonary Resuscitation
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - complications
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - mortality
Cardiovascular System
Case reports
Comorbidity
Coronaviridae
Coronavirus Infections - complications
Coronavirus Infections - epidemiology
Coronavirus Infections - mortality
Coronavirus Infections - prevention & control
Coronaviruses
COVID-19
Curriculum in Cardiology
Electrocardiography
Fatal Outcome
Fatalities
Female
Health care
Health Personnel
Health risks
Hospitalization - statistics & numerical data
Hospitalization - trends
Humans
Male
Medical personnel
Medical treatment
Middle Aged
Mortality
Myocytes
Occupational Diseases - epidemiology
Occupational Diseases - prevention & control
Occupational exposure
Pandemics
Pandemics - prevention & control
Personal Protective Equipment
Pneumonia, Viral - complications
Pneumonia, Viral - epidemiology
Pneumonia, Viral - mortality
Pneumonia, Viral - prevention & control
Respiratory diseases
SARS-CoV-2
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Ventricle
Ventricular Function
Viral diseases
Viruses
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Description
Summary:As the severe acute respiratory syndrome coronavirus 2 virus pandemic continues to grow globally, an association is apparent between patients with underlying cardiovascular disease comorbidities and the risk of developing severe COVID-19. Furthermore, there are potential cardiac manifestations of severe acute respiratory syndrome coronavirus 2 including myocyte injury, ventricular dysfunction, coagulopathy, and electrophysiologic abnormalities. Balancing management of the infection and treatment of underlying cardiovascular disease requires further study. Addressing the increasing reports of health care worker exposure and deaths remains paramount. This review summarizes the most contemporary literature on the relationship of the cardiovascular system and COVID-19 and society statements with relevance to protection of health care workers, and provides illustrative case reports in this context.
ISSN:0002-8703
1097-6744
1097-6744
DOI:10.1016/j.ahj.2020.06.009