Tersalvi Gregorio, Veronese Giacomo, Winterton Dario
Division of Cardiology, Fondazione Cardiocentro Ticino, Lugano, Switzerland.
Department of Internal Medicine, Hirslanden Klinik St. Anna, Lucerne, Switzerland.
Theranostics. 2020 Aug 2;10(21):9888-9889. doi: 10.7150/thno.50788. eCollection 2020.
Although Coronavirus Disease 2019 (COVID-19) presents primarily as a respiratory condition, a growing body of evidence shows it is a systemic disease. Recently, many authors have described myocardial damage in COVID-19, suggesting various pathophysiological mechanisms. In this issue, Cao demonstrate the prognostic value of cardiac troponin I in patients with COVID-19, showing how even minor elevations in this molecule carry a great impact on patient mortality. In a situation such as the worldwide COVID-19 pandemic, where healthcare resources are placed under enormous stress, readily available tests such as this play an important role in helping clinicians identify patients at greater risk of developing severe forms of the disease, and should be included in the initial triage panel.
尽管2019冠状病毒病(COVID-19)主要表现为呼吸系统疾病,但越来越多的证据表明它是一种全身性疾病。最近,许多作者描述了COVID-19中的心肌损伤,并提出了各种病理生理机制。在本期中,曹等人证明了心肌肌钙蛋白I在COVID-19患者中的预后价值,表明即使该分子的轻微升高也会对患者死亡率产生重大影响。在全球COVID-19大流行这种医疗资源承受巨大压力的情况下,像这样现成可用的检测在帮助临床医生识别罹患该疾病严重形式风险更高的患者方面发挥着重要作用,并且应该纳入初始分诊项目中。