Department of Cardiovascular/Respiratory Diseases, Nephrology, Anesthesiology, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy; Cellular and Molecular Cardiology Lab, IRCCS L. Spallanzani, Rome 00149, Italy.
Department of Cardiovascular/Respiratory Diseases, Nephrology, Anesthesiology, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
Card Electrophysiol Clin. 2022 Mar;14(1):53-62. doi: 10.1016/j.ccep.2021.11.001. Epub 2021 Nov 9.
The clinical manifestations of COVID-19 are widely variable and may involve several districts. Although the clinical course is mostly characterized by respiratory involvement, up to 30% of hospitalized patients have evidence of myocardial injury due to acute coronary syndrome, cardiac arrhythmias, myocarditis, and cardiogenic shock. In particular, myocarditis is a well-recognized severe complication of COVID-19 and is associated with fulminant cardiogenic shock and sudden cardiac death. In this article, the authors aim to present a comprehensive review about COVID-19-related myocarditis, including clinical characteristics, diagnostic workup, and management.
COVID-19 的临床表现差异很大,可能涉及多个部位。尽管临床病程主要表现为呼吸道受累,但多达 30%的住院患者由于急性冠状动脉综合征、心律失常、心肌炎和心源性休克而有心肌损伤的证据。特别是心肌炎是 COVID-19 的一种公认的严重并发症,与暴发性心源性休克和心源性猝死有关。本文作者旨在对 COVID-19 相关心肌炎进行全面综述,包括临床特征、诊断方法和治疗。