Open AccessCardiovascular Aspects of Coronavirus Disease-2019
Author(s) -
Refli Hasan
Publication year - 2021
Publication title -
open access macedonian journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.288
H-Index - 17
ISSN - 1857-9655
DOI - 10.3889/oamjms.2021.5598
Subject(s) - medicine , hydroxychloroquine , disease , coagulopathy , coronavirus , cardiology , intensive care medicine , pandemic , acute coronary syndrome , thrombosis , covid-19 , infectious disease (medical specialty) , myocardial infarction
Coronavirus disease-2019 (COVID-19) is caused by severe acute respiratory syndrome-coronavirus-2. The disease has become a pandemic since March 11, 2020, with more than 47 million cases and 1 million deaths worldwide. Besides affecting respiratory system, the disease is also affects cardiovascular system. Cardiovascular involvement is hypothesized from direct invasion, inflammation, thrombosis, autoantibody, and imbalance of oxygen supply and demand. Cardiovascular damage from those processes manifests as acute coronary syndrome, arrhythmia, and heart failure. Patients contracting COVID-19 with cardiovascular manifestations should undergo routine examinations and auxiliary examinations such as cardiac biomarkers, cardiac imaging, electrocardiography, echocardiography, and angiography. COVID-19 patients with cardiovascular manifestations are managed with supportive treatment, antivirals, hydroxychloroquine, and azithromycin. Immunomodulators and convalescent plasma are being investigated recently. Anticoagulant is utilized to manage coagulopathy. Survived COVID-19 patients with history of cardiovascular manifestations should undergo routine follow-up.