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Prasad A, Panhwar S, Hendel RC, Sheikh O, Mushtaq Z, Dollar F, Vinas A, Alraies C, Almonani A, Nguyen TH, Amione-Guerra J, Foster MT, Sisson C, Anderson A, George JC, Kutkut I, Guareña Casillas JA, Badin A. COVID-19 and the cardiovascular system: A review of current data, summary of best practices, outline of controversies, and illustrative case reports. Am Heart J 2020; 226:174-187. [PMID: 32599258 PMCID: PMC7834076 DOI: 10.1016/j.ahj.2020.06.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 06/10/2020] [Indexed: 12/21/2022]
Abstract
As the severe acute respiratory syndrome coronavirus 2 virus pandemic continues to grow globally, an association is apparent between patients with underlying cardiovascular disease comorbidities and the risk of developing severe COVID-19. Furthermore, there are potential cardiac manifestations of severe acute respiratory syndrome coronavirus 2 including myocyte injury, ventricular dysfunction, coagulopathy, and electrophysiologic abnormalities. Balancing management of the infection and treatment of underlying cardiovascular disease requires further study. Addressing the increasing reports of health care worker exposure and deaths remains paramount. This review summarizes the most contemporary literature on the relationship of the cardiovascular system and COVID-19 and society statements with relevance to protection of health care workers, and provides illustrative case reports in this context.
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Affiliation(s)
- Anand Prasad
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX.
| | - Siyab Panhwar
- Tulane University School of Medicine, Department of Medicine, Division of Cardiology, New Orleans, LA
| | - Robert C Hendel
- Tulane University School of Medicine, Department of Medicine, Division of Cardiology, New Orleans, LA
| | - Omar Sheikh
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Zunair Mushtaq
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Fatima Dollar
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Ariel Vinas
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Chadi Alraies
- Wayne State University, Detroit Medical Center, Division of Cardiology, Detroit, MI
| | - Ahmed Almonani
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Tung Huy Nguyen
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Javier Amione-Guerra
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Mark T Foster
- The Department of Emergency Medicine, UT Health San Antonio, San Antonio, TX
| | - Craig Sisson
- The Department of Emergency Medicine, UT Health San Antonio, San Antonio, TX
| | - Allen Anderson
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Jon C George
- Einstein Medical Center, Division of Cardiology, Philadelphia, PA
| | - Issa Kutkut
- New York-Presbyterian Brooklyn Methodist Hospital, New York, NY
| | | | - Auroa Badin
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
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