Hendren NS, Grodin JL, Drazner MH. Journal of Cardiac Failure (2020). doi: https://doi.org/10.1016/j.cardfail.2020.05.006
- The authors describe an acute COVID-19 cardiovascular syndrome, termed ACovCS reflecting the cardiovascular and thromboembolic complications.
- These complications include:
- Acute coronary syndrome with coronary obstructive disease (CAD)
- Acute myocardial injury without CAD
- Heart failure
- Cardiogenic Shock
- Plus – Arrhythmias, pericardial effusions, cardiac tamponade
- Thrombotic complications include stroke, pulmonary embolism and deep vein thrombosis.
- Cardiovascular Presentations can infrequently be isolated but more commonly occurs in conjunction with typical pulmonary disease
- Distinguishing the groups can be a challenge but markers such as troponin can be helpful as to true cardiac vs. a primary pulmonary presentation.
- For patients with predominant cardiac disease shock is likely cardiac as opposed to predominant Pulmonary cases where the shock may be more likely septic.
- Multiple clinical, genetic, environmental and social factors determine the risk of as well as the severity of infection.
- Categorization by this format should allow an effective diagnosis, treatment, and future research.