Approach to Acute Cardiovascular Complications in COVID-19 Infection.

Ranard, Lauren S; Fried, Justin A; Abdalla, Marwah; Anstey, D Edmund; Givens, Raymond C; Kumaraiah, Deepa; Kodali, Susheel K; Takeda, Koji; Karmpaliotis, Dimitri; Rabbani, LeRoy E; Sayer, Gabriel; Kirtane, Ajay J; Leon, Martin B; Schwartz, Allan; Uriel, Nir; Masoumi, Amirali

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 more than 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, myocarditis) and secondary (myocardial injury/biomarker elevation, 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.