question for Docs...regarding impact on the heart

1,268 Views | 4 Replies | Last: 5 yr ago by FTACof2011
Aggie95
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One of the scariest things about COVID-19 is the amount of viral heart ailments it causes. My question is are these viral heart issues showing up even in asymptomatic and/or mild cases of COVID-19 or is it when the cytokin storm really gets going that the heart issues pop up?

Always been a bit of a heart hypochondriac..especially after having a child born with Hypoplastic Left Heart Syndrome.
Marcus Aurelius
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From the ACC:

In a recent case report on 138 hospitalized COVID-19 patients, 16.7% of patients developed arrhythmia and 7.2% experienced acute cardiac injury, in addition to other COVID-19 related complications.

Published and anecdotal reports indicate cases of acute onset heart failure, myocardial infarction, myocarditis, and cardiac arrest; as with any acute illness, higher cardiometabolic demand can precipitate cardiac complications.

Cardiac arrest being sudden VT/VF. Very scary.
Stumpknocker
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https://images.app.goo.gl/84hZDxxtJx9469u86
Aggie95
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Thanks for the response...that's for hospitalized patients which would suggest they were bad enough to be admitted.

I'm curious about those that were infected and didn't even know it or just spent a few days laying in bed with a low to moderate fever and felt better after 7-10 days....what is the likelihood they suffered any heart "damage"?
Aggie95
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selfish bump for any dr's browsing this evening.
FTACof2011
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There's no way to know as asymptomatic or mildly symptomatic patients are not having troponins drawn or echos performed to evaluate heart function.

Obviously it's too soon to say with this virus but if it's similar to the viral myocarditis frequently seen with the flu then it's likely that if a patient with mild covid has a smoldering myocarditis it is likely to fully resolve without lingering dysfunction.
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