Sarver Heart Center, University of Arizona, Tucson, AZ, USA.
Sarver Heart Center, University of Arizona, Tucson, AZ, USA.
Heart Lung Circ. 2020 Jul;29(7):973-987. doi: 10.1016/j.hlc.2020.05.101. Epub 2020 Jun 5.
Coronavirus disease (COVID-19) is a serious illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The symptoms of the disease range from asymptomatic to mild respiratory symptoms and even potentially life-threatening cardiovascular and pulmonary complications. Cardiac complications include acute myocardial injury, arrhythmias, cardiogenic shock and even sudden death. Furthermore, drug interactions with COVID-19 therapies may place the patient at risk for arrhythmias, cardiomyopathy and sudden death. In this review, we summarise the cardiac manifestations of COVID-19 infection and propose a simplified algorithm for patient management during the COVID-19 pandemic.
冠状病毒病(COVID-19)是由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的严重疾病。该疾病的症状范围从无症状到轻度呼吸道症状,甚至可能导致危及生命的心血管和肺部并发症。心脏并发症包括急性心肌损伤、心律失常、心源性休克甚至猝死。此外,COVID-19 疗法的药物相互作用可能使患者面临心律失常、心肌病和猝死的风险。在这篇综述中,我们总结了 COVID-19 感染的心脏表现,并提出了一种简化的算法,用于 COVID-19 大流行期间的患者管理。