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Title: COVID-19 and Acute Heart Failure: Screening the Critically Ill - A Position Statement of the Cardiac Society of Australia and New Zealand (CSANZ).
Authors: Lal, Sean
Hayward, Christopher S
De Pasquale, Carmine
Kaye, David
Javorsky, George
Bergin, Peter
Atherton, John J
Ilton, Marcus K
Weintraub, Robert G
Nair, Priya
Rudas, Mate
Dembo, Lawrence
Doughty, Robert N
Kumarasinghe, Gayathri
Juergens, Craig
Bannon, Paul G
Bart, Nicole K
Chow, Clara K
Lattimore, Jo-Dee
Kritharides, Leonard
Totaro, Richard
Macdonald, Peter S
Citation: Heart, lung & circulation 2020-05-01
Abstract: Up to one-third of COVID-19 patients admitted to intensive care develop an acute cardiomyopathy, which may represent myocarditis or stress cardiomyopathy. Further, while mortality in older patients with COVID-19 appears related to multi-organ failure complicating acute respiratory distress syndrome (ARDS), the cause of death in younger patients may be related to acute heart failure. Cardiac involvement needs to be considered early on in critically ill COVID-19 patients, and even after the acute respiratory phase is passing. This Statement presents a screening algorithm to better identify COVID-19 patients at risk for severe heart failure and circulatory collapse, while balancing the need to protect health care workers and preserve personal protective equipment (PPE). The significance of serum troponin levels and the role of telemetry and targeted transthoracic echocardiography (TTE) in patient investigation and management are addressed, as are fundamental considerations in the management of acute heart failure in COVID-19 patients.
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Journal title: Heart, lung & circulation
Publication Date: 2020-05-01
Type: Letter
DOI: 10.1016/j.hlc.2020.04.005
Appears in Collections:(a) NT Health Research Collection

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