The Pathogenesis and Long-Term Consequences of COVID-19 Cardiac Injury.
JACC Basic Transl Sci
; 7(3): 294-308, 2022 Mar.
Article
em En
| MEDLINE
| ID: mdl-35165665
ABSTRACT
The mechanisms of coronavirus disease-2019 (COVID-19)-related myocardial injury comprise both direct viral invasion and indirect (hypercoagulability and immune-mediated) cellular injuries. Some patients with COVID-19 cardiac involvement have poor clinical outcomes, with preliminary data suggesting long-term structural and functional changes. These include persistent myocardial fibrosis, edema, and intraventricular thrombi with embolic events, while functionally, the left ventricle is enlarged, with a reduced ejection fraction and new-onset arrhythmias reported in a number of patients. Myocarditis post-COVID-19 vaccination is rare but more common among young male patients. Larger studies, including prospective data from biobanks, will be useful in expanding these early findings and determining their validity.
CMR, cardiovascular magnetic resonance; COVID-19; COVID-19, coronavirus disease-2019; CT, Computerized Tomography; LGE, late gadolinium enhancement; MI, myocardial infarction; SARS-CoV-2, severe acute respiratory syndrome coronavirus-2; athlete; cardiovascular magnetic resonance imaging; inflammation; myocardial injury; myocarditis; sudden cardiac death; troponin
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Etiology_studies
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article