Mani Avinash, Ojha Vineeta, Dubey Manoj Kumar
Department of Cardiology, Sreechitra Tirunal Institute of Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala.
Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi.
J Assoc Physicians India. 2020 Nov;68(11):66-68.
COVID-19 has been the biggest pandemic which the world has seen in recent times. The SARS-Cov-2 infection has the potential to cause multi-organ dysfunction. Though the virus predominantly affects the lungs, it can affect the heart in myriad ways. Heart failure (HF) is one such complication caused by the virus, both in patients with and without cardiovascular diseases. Different mechanisms have been proposed for the pathogenesis of HF in COVID-19 ranging from direct viral injury to indirect immune mediated damage. Patients can have different clinical presentations with either acute heart failure or chronic heart failure. Early recognition and prompt management is the need of the hour to prevent any mortality and morbidity. Summary: COVID-19 can affect the heart in many ways. This article describes the mechanisms, clinical presentations and management of heart failure caused by COVID-19 infection.
新冠疫情是近期全球遭遇的最大规模的大流行病。严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染有可能导致多器官功能障碍。尽管该病毒主要影响肺部，但它可以通过多种方式影响心脏。心力衰竭（HF）就是该病毒引发的一种并发症，无论患者有无心血管疾病。针对新冠病毒感染导致心力衰竭的发病机制，人们提出了不同的观点，范围从直接病毒损伤到间接免疫介导损伤。患者可能会出现急性心力衰竭或慢性心力衰竭等不同的临床表现。早期识别和及时处理是当下预防任何死亡和发病情况的迫切需求。总结：新冠病毒可通过多种方式影响心脏。本文描述了新冠病毒感染所致心力衰竭的机制、临床表现及处理方法。
