Dilated Cardiomyopathy Risk in Patients with Coronavirus Disease 2019: How to Identify and Characterise it Early?
Multiple lines of evidence have shown that elevated blood troponin is strongly associated with poor prognosis in patients with the novel coronavirus disease 2019 (COVID-19). Possible mechanisms of myocardial injury in COVID-19 include ischaemia due to circulatory and respiratory failure, epicardial...
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Radcliffe Medical Media
2020
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oai:doaj.org-article:1d41107a58004775ab0cb7621ba45ff12021-12-04T16:03:02ZDilated Cardiomyopathy Risk in Patients with Coronavirus Disease 2019: How to Identify and Characterise it Early?10.15420/ecr.2020.171758-37641758-3756https://doaj.org/article/1d41107a58004775ab0cb7621ba45ff12020-05-01T00:00:00Zhttps://www.ecrjournal.com/articleindex/ecr.2020.17https://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764Multiple lines of evidence have shown that elevated blood troponin is strongly associated with poor prognosis in patients with the novel coronavirus disease 2019 (COVID-19). Possible mechanisms of myocardial injury in COVID-19 include ischaemia due to circulatory and respiratory failure, epicardial or intramyocardial small coronary artery thrombotic obstruction due to increased coagulability, and myocarditis caused by systemic inflammation or direct binding of the virus to its receptor, angiotensin-converting enzyme-2 (ACE2), which is abundantly expressed in the heart. It is postulated that persistent immune activation upon viral infection increases the risk of developing dilated cardiomyopathy in COVID-19 patients.Maki KomiyamaKoji HasegawaAkira MatsumoriRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 15, Iss , Pp - (2020) |
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Diseases of the circulatory (Cardiovascular) system RC666-701 |
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Diseases of the circulatory (Cardiovascular) system RC666-701 Maki Komiyama Koji Hasegawa Akira Matsumori Dilated Cardiomyopathy Risk in Patients with Coronavirus Disease 2019: How to Identify and Characterise it Early? |
description |
Multiple lines of evidence have shown that elevated blood troponin is strongly associated with poor prognosis in patients with the novel coronavirus disease 2019 (COVID-19). Possible mechanisms of myocardial injury in COVID-19 include ischaemia due to circulatory and respiratory failure, epicardial or intramyocardial small coronary artery thrombotic obstruction due to increased coagulability, and myocarditis caused by systemic inflammation or direct binding of the virus to its receptor, angiotensin-converting enzyme-2 (ACE2), which is abundantly expressed in the heart. It is postulated that persistent immune activation upon viral infection increases the risk of developing dilated cardiomyopathy in COVID-19 patients. |
format |
article |
author |
Maki Komiyama Koji Hasegawa Akira Matsumori |
author_facet |
Maki Komiyama Koji Hasegawa Akira Matsumori |
author_sort |
Maki Komiyama |
title |
Dilated Cardiomyopathy Risk in Patients with Coronavirus Disease 2019: How to Identify and Characterise it Early? |
title_short |
Dilated Cardiomyopathy Risk in Patients with Coronavirus Disease 2019: How to Identify and Characterise it Early? |
title_full |
Dilated Cardiomyopathy Risk in Patients with Coronavirus Disease 2019: How to Identify and Characterise it Early? |
title_fullStr |
Dilated Cardiomyopathy Risk in Patients with Coronavirus Disease 2019: How to Identify and Characterise it Early? |
title_full_unstemmed |
Dilated Cardiomyopathy Risk in Patients with Coronavirus Disease 2019: How to Identify and Characterise it Early? |
title_sort |
dilated cardiomyopathy risk in patients with coronavirus disease 2019: how to identify and characterise it early? |
publisher |
Radcliffe Medical Media |
publishDate |
2020 |
url |
https://doaj.org/article/1d41107a58004775ab0cb7621ba45ff1 |
work_keys_str_mv |
AT makikomiyama dilatedcardiomyopathyriskinpatientswithcoronavirusdisease2019howtoidentifyandcharacteriseitearly AT kojihasegawa dilatedcardiomyopathyriskinpatientswithcoronavirusdisease2019howtoidentifyandcharacteriseitearly AT akiramatsumori dilatedcardiomyopathyriskinpatientswithcoronavirusdisease2019howtoidentifyandcharacteriseitearly |
_version_ |
1718372721171103744 |