Myocardial Ischemia in Patients with COVID-19 Infection: Between Pathophysiological Mechanisms and Electrocardiographic Findings.
Ștefania Teodora DucaAdriana ChetranRadu Ștefan MiftodeOvidiu MituAlexandru-Dan CostacheAna NicolaeDan Iliescu-HalițchiCodruța-Olimpiada Halițchi-IliescuFlorin MituIrina Iuliana CostachePublished in: Life (Basel, Switzerland) (2022)
Given the possible pathophysiological links between myocardial ischemia and SARS-CoV-2 infection, several studies have focused attention on acute coronary syndromes in order to improve patients' morbidity and mortality. Understanding the pathophysiological aspects of myocardial ischemia in patients infected with SARS-CoV-2 can open a broad perspective on the proper management for each patient. The electrocardiogram (ECG) remains the easiest assessment of cardiac involvement in COVID-19 patients, due to its non-invasive profile, accessibility, low cost, and lack of radiation. The ECG changes provide insight into the patient's prognosis, indicating either the worsening of an underlying cardiac illnesses or the acute direct injury by the virus. This indicates that the ECG is an important prognostic tool that can affect the outcome of COVID-19 patients, which important to correlate its aspects with the clinical characteristics and patient's medical history. The ECG changes in myocardial ischemia include a broad spectrum in patients with COVID-19 with different cases reported of ST-segment elevation, ST-segment depression, and T wave inversion, which are associated with severe COVID-19 disease.
Keyphrases
- sars cov
- left ventricular
- end stage renal disease
- case report
- ejection fraction
- newly diagnosed
- heart rate variability
- chronic kidney disease
- heart rate
- low cost
- respiratory syndrome coronavirus
- acute coronary syndrome
- peritoneal dialysis
- heart failure
- healthcare
- working memory
- magnetic resonance
- depressive symptoms
- minimally invasive
- computed tomography
- blood pressure
- early onset
- mitral valve
- physical activity
- patient reported outcomes
- coronary artery disease
- left atrial
- acute respiratory distress syndrome
- radiation induced
- drug induced
- sleep quality
- hepatitis b virus