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COVID-19 and cardiovascular complications – preliminary results of the LATE-COVID study

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TLDR
Diabetes, elevated level of CRP and troponin, heart rate variability parameters and worsening of left ventricular ejection fraction are related to the severity of cardiovascular complications following COVID-19 infection.
Abstract
Introduction: Coronavirus disease 2019 (COVID-19) may affect many organs and may be responsible for numerous complications including cardiovascular problems Methods: We analysed consecutive patients (n = 51) admitted to the cardiology department between 1st October 2020 and 31st January 2021 due to symptoms which might have reflected cardiovascular complications following COVID-19 We collected data concerning clinical characteristics, results of laboratory tests, echocardiography and 24-hour ambulatory ECG recording Results: The post-COVID-19 complications appeared 1–4 months after disease recovery Severe cardiovascular complications were observed in 27 5% of hospitalized patients In comparison to those with mild complications, patients with severe complications had significantly higher prevalence of diabetes (36 vs 8%;p = 0 01), decrease in ejection fraction (36% vs 0%, p < 0 001), higher resting heart rate at admission (85 vs 72 bpm;p < 0 001), and higher levels of C-reactive protein (p = 0 02) and troponin T (17 9 vs 4 2 pg/ml;p = 0 01) Dyspnoea and exercise intolerance were also more frequent in patients with severe complications Conclusions: Diabetes, elevated level of CRP and troponin, heart rate variability parameters and worsening of left ventricular ejection fraction are related to the severity of cardiovascular complications following COVID-19 infection [ABSTRACT FROM AUTHOR] Copyright of Archives of Medical Science is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )

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ESCMID rapid guidelines for assessment and management of long COVID

TL;DR: In this paper , the authors provide evidence-based recommendations for the assessment and management of individuals with persistent symptoms after acute COVID-19 infection and to provide a definition for this entity, termed "long COVID".
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Evolution of Echocardiographic Abnormalities Identified in Previously Healthy Individuals Recovering from COVID-19

TL;DR: In patients with post-acute COVID-19 syndrome, several cardiac abnormalities may be assessed by TTE, most of them alleviating in time, raising the presumption of chronic alterations.
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Preliminary Guidelines for the Clinical Evaluation and Management of Long COVID

TL;DR: Advice on diagnosis and management based on the latest updated available evidence and the consensus of expert opinion is provided, including appropriate interventions for long COVID that can be used in clinical practice.
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Protective role of nutraceuticals against myocarditis

TL;DR: In this article , the properties of phytochemicals as plant-derived active ingredients which can be used in the prevention and treatment of myocarditis and its associated risk factors are described.
References
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Journal ArticleDOI

Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China.

TL;DR: Patients with previous cardiovascular metabolic diseases may face a greater risk of developing into the severe condition and the comorbidities can also greatly affect the prognosis of the COVID-19, which can aggravate the damage to the heart.
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Cardiovascular complications in COVID-19.

TL;DR: Emergency clinicians should be aware of these cardiovascular complications when evaluating and managing the patient with COVID-19 and current therapies for CO VID-19 may interact with cardiovascular medications.
Journal ArticleDOI

Diabetes mellitus is associated with increased mortality and severity of disease in COVID-19 pneumonia - A systematic review, meta-analysis, and meta-regression.

TL;DR: DM was associated with mortality, severe COVID-19, ARDS, and disease progression in patients with CO VID-19 and the association was weaker in studies with median age ≥55 years-old compared to <55 years old, and in prevalence of hypertension ≥25% compared to<25%.