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Year 2021, Volume: 4 Issue: 3, 388 - 390, 21.05.2021
https://doi.org/10.32322/jhsm.910052

Abstract

References

  • Turkish Cardiology Association Consensus Report: COVID-19 Pandemic and Cardiovascular Diseases. Turk Kardiyol Dern Ars 2020; 48: 1-87.
  • Siripanthong B, Nazarian S, Muser D, et al. Recognizing COVID-19-related myocarditis: the possible pathophysiology and proposed guideline for diagnosis and management. Heart Rhythm 2020; 17: 1463-71.
  • Guo T, Fan Y, Chen M, et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19). JAMA Cardiol 2020; 5: 811-8.
  • Hendren NS, Drazner MH, Bozkurt B and Cooper LT, Jr. Description and proposed management of the acute COVID-19 cardiovascular syndrome. Circulation 2020; 141: 1903-14.
  • Pirzada A, Mokhtar AT, Moeller AD. COVID-19 and myocarditis: what do we know so far? CJC Open 2020; 2: 278-85.
  • Kawakami R, Sakamoto A, Kawai K, et al. Pathological evidence for SARS-CoV-2 as a cause of myocarditis. J Am Coll Cardiol 2021; 77: 314-25.
  • Okyay K, Sadıç BÖ, Şahinarslan A, et al. Turkish Society of Cardiology consensus paper on the rational use of cardiac troponins in daily practice. Anatol J Cardiol 2019; 21: 331-44.
  • Skulstad H, Cosyns B, Popescu BA, et al. EACVI recommendations on precautions, indications, prioritization, and protection for patients and healthcare personnel. Eur Heart J Cardiovasc Imaging 2020; 21: 592-8.
  • Pellegrini D, Kawakami R, Guagliumi G, et al. Microthrombi as a major cause of cardiac injury in COVID-19: a pathologic study. Circulation 2021; 143: 1031-42.
  • Kotecha T, Knight DS, Razvi Y, et al. Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance. Eur Heart J 2021: ehab075.

COVID-19 and myocarditis/myocardial injury

Year 2021, Volume: 4 Issue: 3, 388 - 390, 21.05.2021
https://doi.org/10.32322/jhsm.910052

Abstract

Myocarditis is defined as inflammation of the myocardium, and it presents with different clinical pictures, and its diagnosis has some difficulties. The prognosis of myocarditis is aetiology-dependent, and treatment is fundemantally supportive except for “endometrial biopsy proven” cases which requires spesific therapies including immunomodulators and intravenous immunoglobulins. SARS-CoV-2 affects cardiovascular systems directly or via indirectly mechanisms. COVID-19 infection increases the risks of myocardial injury, myocarditis, myocardial infarction, heart failure, venous thromboembolism and arrhythmias. The underlying mechanism of troponin elevation during COVID-19 infections is not exactly explained. In this review, the relationship between COVID-19 and myocardial involvement was discussed. Still, multidisciplinary trials are needed to explain this important situation.

References

  • Turkish Cardiology Association Consensus Report: COVID-19 Pandemic and Cardiovascular Diseases. Turk Kardiyol Dern Ars 2020; 48: 1-87.
  • Siripanthong B, Nazarian S, Muser D, et al. Recognizing COVID-19-related myocarditis: the possible pathophysiology and proposed guideline for diagnosis and management. Heart Rhythm 2020; 17: 1463-71.
  • Guo T, Fan Y, Chen M, et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19). JAMA Cardiol 2020; 5: 811-8.
  • Hendren NS, Drazner MH, Bozkurt B and Cooper LT, Jr. Description and proposed management of the acute COVID-19 cardiovascular syndrome. Circulation 2020; 141: 1903-14.
  • Pirzada A, Mokhtar AT, Moeller AD. COVID-19 and myocarditis: what do we know so far? CJC Open 2020; 2: 278-85.
  • Kawakami R, Sakamoto A, Kawai K, et al. Pathological evidence for SARS-CoV-2 as a cause of myocarditis. J Am Coll Cardiol 2021; 77: 314-25.
  • Okyay K, Sadıç BÖ, Şahinarslan A, et al. Turkish Society of Cardiology consensus paper on the rational use of cardiac troponins in daily practice. Anatol J Cardiol 2019; 21: 331-44.
  • Skulstad H, Cosyns B, Popescu BA, et al. EACVI recommendations on precautions, indications, prioritization, and protection for patients and healthcare personnel. Eur Heart J Cardiovasc Imaging 2020; 21: 592-8.
  • Pellegrini D, Kawakami R, Guagliumi G, et al. Microthrombi as a major cause of cardiac injury in COVID-19: a pathologic study. Circulation 2021; 143: 1031-42.
  • Kotecha T, Knight DS, Razvi Y, et al. Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance. Eur Heart J 2021: ehab075.
There are 10 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Review
Authors

Kaan Okyay 0000-0001-6134-8826

Publication Date May 21, 2021
Published in Issue Year 2021 Volume: 4 Issue: 3

Cite

AMA Okyay K. COVID-19 and myocarditis/myocardial injury. J Health Sci Med / JHSM. May 2021;4(3):388-390. doi:10.32322/jhsm.910052

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Prof. İbrahim Celalaettin HAZNEDAROĞLU (MD)

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