COVID-19 associated with heart disease in patients with cardiovascular disease

March 27 (UPI) – IN new findings A review of research in China published on Friday highlights that COVID-19 can cause death in people with cardiovascular disease and lead to heart injuries even for those who have no heart problems

Due to the rapid spread of the new coronavirus in the United States – now with nearly 100,000 confirmed cases, peaks in the world – healthcare providers are still confronted with how the disease develops and what happens to those who develop a serious illness.

“It is likely that even in the absence of a previous heart disease, the heart muscle may be affected by coronavirus disease,” co-author Dr. Mohammad Majid, associate professor of cardiology at McGovern School of Medicine at the University of Texas, writes. Center, according to a press release. "In general, damage to heart muscle can occur in any patient with or without heart failure, but those who already have heart failure are at higher risk."

In fact, studies published after earlier epidemics of coronavirus and influenza, including SARS, MERS and H1n1 – suggests that viral infections can cause acute coronary syndromes, arrhythmias and the development or exacerbation of heart failure, said Majid and his co-authors.

Evidence suggests that in some of the SARS-infected individuals, it could lead to cardiovascular complications, such as acute coronary syndrome and myocardial infarction.

According to the US Centers for Disease Control and Prevention, more than 18 million adult Americans suffer from coronary heart disease, the most common heart disease in the country. Overall, heart disease is the leading cause of death in the United States, killing about 650,000 people each year.

In the clinical bulletin issued American College of Cardiology in February, it was revealed that the mortality rate of COVID-19 for patients with cardiovascular disease was more than 10 percent. The data also indicate a greater likelihood that people over 65 with coronary heart disease or hypertension are at increased risk of infection, as well as experiencing more serious symptoms that will go to the hospital’s intensive care unit or intensive care unit.

The beds in intensive care units have been filled to capacity in some places since the pandemic spread to the United States.

According to Majid and colleagues, critical cases are those that include respiratory failure, septic shock, or dysfunction or organ failure.

“It is reasonable to expect that serious cardiovascular complications associated with COVID-19 will occur in patients with severe symptoms due to the high inflammatory response associated with this disease,” Majid said.

Indeed, this has been confirmed in one of the studies A report was released on Friday that found that in 187 people with confirmed coronavirus infection at the epicenter of the outbreak in Wuhan, China, nearly 28 percent of them received heart injuries as a result of the disease. These injuries led to "cardiac dysfunction" and / or irregular heartbeat.

In addition, researchers in China noted that the risk of death from COVID-19 was more than three times higher in patients with a history of cardiovascular disease than in patients without it. Overall, 23 percent of the 187 people participating in the analysis died as a result of infection.

Some of these injuries can be caused by a lack of oxygen reaching the heart due to complications caused by the lung virus, said Dr. Raj Dasgupta, a specialist in pulmonology and critical medicine at the Keck School of Medicine, University of Southern California. UPI

Dasgupta and colleagues at Keck Hospital in Los Angeles have already treated patients suspected of having COVID-19, and he said the results of these studies are likely to change the way they screen for the virus and manage those diagnosed with the virus. .

“As a doctor, I realize that this virus will not spare any organ in the body,” he explained. "The way we screen, we are all focused on the lungs, which suits me because I'm a pulmonologist, but we can't forget about the heart."

At a practical level, this is likely to mean that cardiologists will be asked to consult patients with COVID-19, and that patients can undergo regular electrocardiograms to assess the effect of the virus on their heart.

In a separate medical historyResearchers in Italy describe how a 53-year-old woman without a history of heart disease developed acute myopericarditis or inflammation of the pericardium, which is the sac that covers the heart.

The woman’s heart condition resolved as she recovered from the virus, but in rare cases, myopericarditis can become permanent and lead to serious heart problems.

It can also cause a condition called cardiac tamponade, in which excess fluid builds up in the pericardium, resulting in a significant drop in blood pressure. Cardiac tamponade can be fatal if not diagnosed and cured in a timely manner. According to Dasgupta, this should be depleted, which may further complicate the treatment of a patient with COVID-19.

It is noteworthy, he added, that the patient in the report also complained of shortness of breath, despite the fact that computed tomography of her lungs did not reveal any signs of the disease. It is likely that her shortness of breath was caused by damage to her heart, which, perhaps, could not pump enough blood to her lungs.

“The main idea for the doctors is that if the patient says:“ Hey, my breath caught, ”this does not necessarily mean that it’s lungs,” he said.

. (TagsToTranslate) Health (t) H1N1 (t) COVID-19

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