Finsterer Josef, Mehri Sounira
Neurology and Neurophysiology Center, Postfach 20, 1180, Vienna, Austria.
Biochemistry Laboratory, Faculty of Medicine, LR12ES05 "Nutrition-Functional Foods and Vascular Health", Monastir, Tunisia.
Trop Med Health. 2022 Dec 19;50(1):94. doi: 10.1186/s41182-022-00474-9.
One of the organs affected by SARS-CoV-2 is the heart. Cardiac manifestations of SARS-CoV-2 include acute coronary syndrome, endocarditis, myocarditis, pericarditis with pericardial effusion, heart failure, Takotsubo syndrome, arrhythmias, intra-ventricular thrombus formation, and cardiogenic shock. If COVID-19 patients present with cardiac complications, they require thorough cardiologic work-up, including coronary angiography if myocardial infarction or Takotsubo syndrome is suspected. Since patients with prosthetic valves and those carrying devises are prone to experience cardiac complications from a SARS-CoV-2 infection, they require particular attention and surveillance. If myocarditis is suspected, the diagnosis should be established by cardiac MRI with contrast medium or endo-myocardial biopsy.
新型冠状病毒肺炎(COVID-19)的病原体严重急性呼吸综合征冠状病毒2(SARS-CoV-2)所影响的器官之一是心脏。SARS-CoV-2的心脏表现包括急性冠状动脉综合征、心内膜炎、心肌炎、伴有心包积液的心包炎、心力衰竭、应激性心肌病、心律失常、心室内血栓形成和心源性休克。如果COVID-19患者出现心脏并发症,他们需要进行全面的心脏检查,若怀疑有心肌梗死或应激性心肌病,则需进行冠状动脉造影。由于人工瓣膜患者和携带装置的患者更容易因SARS-CoV-2感染而出现心脏并发症,因此需要特别关注和监测。如果怀疑有心肌炎,应通过使用造影剂的心脏磁共振成像或心内膜心肌活检来确诊。