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      Approach to Acute Cardiovascular Complications in COVID-19 Infection

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          Abstract

          The novel coronavirus disease 2019, otherwise known as COVID-19, is a global pandemic with primary respiratory manifestations in those who are symptomatic. It has spread to >187 countries with a rapidly growing number of affected patients. Underlying cardiovascular disease is associated with more severe manifestations of COVID-19 and higher rates of mortality. COVID-19 can have both primary (arrhythmias, myocardial infarction, and myocarditis) and secondary (myocardial injury/biomarker elevation and heart failure) cardiac involvement. In severe cases, profound circulatory failure can result. This review discusses the presentation and management of patients with severe cardiac complications of COVID-19 disease, with an emphasis on a Heart-Lung team approach in patient management. Furthermore, it focuses on the use of and indications for acute mechanical circulatory support in cardiogenic and/or mixed shock.

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          Author and article information

          Contributors
          (View ORCID Profile)
          Journal
          Circulation: Heart Failure
          Circ: Heart Failure
          Ovid Technologies (Wolters Kluwer Health)
          1941-3289
          1941-3297
          July 2020
          July 2020
          : 13
          : 7
          Affiliations
          [1 ]Division of Cardiology, Department of Medicine (L.S.R., J.A.F., M.A., D.E.A., R.C.G., D. Kumaraiah, S.K.K., D. Karmpaliotis, L.E.R., G.S., A.J.K., M.B.L., A.S., N.U., A.M.), Columbia University Irving Medical Center/New York-Presbyterian Hospital, New York, NY.
          [2 ]Clinical Trials Center, Cardiovascular Research Foundation, New York, NY (S.K.K., D. Karmpaliotis, A.J.K., M.B.L.).
          [3 ]Department of Surgery (K.T.), Columbia University Irving Medical Center/New York-Presbyterian Hospital, New York, NY.
          Article
          10.1161/CIRCHEARTFAILURE.120.007220
          8126417
          32500721
          d782e15b-0f45-4cbd-ab13-61d7c3e90f41
          © 2020
          History

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