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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Autores principales: Maki Komiyama, Koji Hasegawa, Akira Matsumori
Formato: article
Lenguaje:EN
Publicado: Radcliffe Medical Media 2020
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Acceso en línea:https://doaj.org/article/1d41107a58004775ab0cb7621ba45ff1
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle 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
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