Cardiovascular Complications of COVID-19 Infection

Authors

  • Maria Ana Trêpa Serviço de Cardiologia. Centro Hospitalar Universitário do Porto. Porto. Serviço de Cuidados Intensivos. Centro Hospitalar Universitário do Porto. Porto. Cardiovascular Research Group. Unidade Multidisciplinar de Investigação Biomédica. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto. https://orcid.org/0000-0002-7624-7750
  • António Hipólito Reis Serviço de Cardiologia. Centro Hospitalar Universitário do Porto. Porto. Departamento de Medicina. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto.
  • Mario Oliveira Serviço de Cardiologia. Centro Hospitalar Universitário Lisboa Central. Lisboa. Centro do Coração e Vasos. Hospital CUF Tejo. Lisboa. Instituto de Fisiologia e Centro Cardiovascular. Faculdade de Medicina. Universidade de Lisboa. Lisboa.

DOI:

https://doi.org/10.20344/amp.15584

Keywords:

Arrhythmia, COVID-19, Heart Failure, Myocardial Infarction, Pulmonary Embolism, SARS-CoV-2

Abstract

Introduction: Reports of cardiovascular complications related to the COVID-19 infection have been frequent.
Methods: Narrative review for relevant articles on the topic. The classic cardiovascular risk factors, like age, obesity, diabetes, and hypertension are associated with adverse outcomes in COVID-19 patients. Cardiovascular complications can have a diverse clinical presentation including silent myocardial injury, acute coronary syndromes, thromboembolism, cardiac arrhythmias, and heart failure. There are multiple mechanisms of cardiac injury that are not mutually exclusive. The approach to diagnosis and management should be carried out according to usual practice, while considering the particularities of COVID-19 infection.
Conclusion: The interaction between SARS-CoV-2 and the heart is complex and is manifested in multiple ways. Regardless of the clinical presentation, cardiac complications convey a worse prognosis. Patients should be actively monitored and treated accordingly.

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Author Biography

Maria Ana Trêpa, Serviço de Cardiologia. Centro Hospitalar Universitário do Porto. Porto. Serviço de Cuidados Intensivos. Centro Hospitalar Universitário do Porto. Porto. Cardiovascular Research Group. Unidade Multidisciplinar de Investigação Biomédica. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto.

Autora ID#9246

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Published

2021-08-31

How to Cite

1.
Trêpa MA, Hipólito Reis A, Oliveira M. Cardiovascular Complications of COVID-19 Infection. Acta Med Port [Internet]. 2021 Aug. 31 [cited 2022 Nov. 30];34(9):608-14. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/15584

Issue

Section

Review Articles