COVID-19 and the Cardiovascular System

A special issue of Hearts (ISSN 2673-3846).

Deadline for manuscript submissions: closed (31 January 2023) | Viewed by 3216

Special Issue Editors


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Guest Editor
Department of Internal Medicine II, University Hospital of the Paracelsus Medical University, Muellner Hauptstr. 48, 5020 Salzburg, Austria
Interests: cardiovascular disease and COVID-19; COVID-19 and cardiac biomarkers; COVID-19 and cardiac arrhythmias; COVID-19 and inflammation; cardiovascular therapies in COVID-19

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Guest Editor
Medical Faculty, Johannes Kepler University Linz, 4040 Linz, Austria
Interests: gender medicine; gender aspects of COVID-19 disease; cardiovascular disease and COVID-19

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Guest Editor
Department of Cardiology I-Coronary and Peripheral Vascular Disease, Heart Failure, University Hospital Münster, 48149 Münster, Germany
Interests: cardiovascular disease and COVID-19; COVID-19 and microcirculation; COVID-19 and cardiac biomarkers
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Special Issue Information

Dear Colleagues,

Since late 2019, the COVID-19 pandemic has resulted in a worldwide health crisi,s with millions of reported COVID-19 deaths and hospitalizations leading to healthcare system overburden. While the unprecedented response from the global medical community led to rapid development of multiple vaccines and therapies, the acute and long-term health effects of the SARS-CoV-2 virus are still not entirely understood. COVID-19 was primarily assumed to be a respiratory disease; however, the virus affects multiple organs, including the cardiovascular system. Numerous cardiovascular complications during acute infection and in the post COVID-19 period have been reported. Multiple questions still remain concerning SARS-CoV-2-associated cardiovascular pathophysiology, as well as the viability of novel therapies. Consequently, further research is necessary to combat the residual effects of the disease and mitigate the health burden of long-term complications.

We are pleased to invite you to contribute a research article for this Special Issue, which aims to  uncover the mechanisms of how COVID-19 disease affects the cardiovascular system across the spectrum of cardiovascular pathologies and diverse patient populations. Among others, this includes the study of molecular cardiovascular pathophysiology, cardiovascular impacts of acute but also long COVID-19 disease, as well as the investigation of novel therapeutic options. This issue further focuses on cardiovascular relevant health science questions, including gender-related cardiovascular COVID-19 aspects. 

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  1. Cardiovascular disease in acute COVID-19 and long sequelae of COVID-19 disease;
  2. Novel therapy options for COVID-19 disease and their impact on the cardiovascular system;
  3. Gender-related aspects of cardiovascular disease in COVID-19;
  4. Pathophysiological aspects of cardiovascular COVID-19 disease;
  5. Impact of COVID-19-associated inflammation on the cardiovascular system;
  6. Novel cardiovascular risk assessment strategies in COVID-19 patients;
  7. Cardiac arrhythmias in acute COVID-19 disease and long sequelae of COVID-19;
  8. The impact of SARS-CoV2 immunization on cardiovascular patients.

We look forward to receiving your contributions.

Prof. Dr. Lukas J. Motloch
Dr. Anna-Maria Dieplinger
Dr. Rudin Pistulli
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Hearts is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • COVID-19
  • long-term cardiovascular sequelae
  • cardiovascular system
  • SARS-CoV-2
  • gender and COVID-19
  • inflammation
  • COVID-19 vaccination
  • COVID-19 therapy
  • pathophysiology of COVID-19
  • cardiac arrhythmia and COVID-19

Published Papers (1 paper)

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Research

10 pages, 433 KiB  
Article
Prevalence, Predictors, and Outcomes of Myocardial Injury in Hospitalized COVID-19 Patients—An Observational Retrospective Study
by Ghanshyam Patel, Jeffrey Smith, Luqman Baloch, Mario Affinati, Advait Vasavada, Shilpa Reddy, Shikha Jain, Gashaw Hassen, Michael Araya and Shrestha Adak
Hearts 2022, 3(3), 66-75; https://doi.org/10.3390/hearts3030009 - 08 Jul 2022
Viewed by 2570
Abstract
COVID-19 mainly causes pulmonary manifestation; nonetheless, its systemic inflammatory response involves multiple organs, including the heart. We aimed to evaluate the prevalence, predictors, and outcomes of myocardial injury in hospitalized patients with SARS-CoV-2 infection. Methods and Results: We performed an observational retrospective analysis [...] Read more.
COVID-19 mainly causes pulmonary manifestation; nonetheless, its systemic inflammatory response involves multiple organs, including the heart. We aimed to evaluate the prevalence, predictors, and outcomes of myocardial injury in hospitalized patients with SARS-CoV-2 infection. Methods and Results: We performed an observational retrospective analysis on patients hospitalized with COVID-19 in a moderate-sized community hospital system. Myocardial injury was defined as highly sensitive troponin T levels in the 99th percentile above the normal upper limit for the respective biological sex. Multivariable logistic regression models were fitted to assess the association between the myocardial-injury and the no-myocardial-injury groups for primary and secondary outcomes. A total of 1632 (49.3% male, 41.7% aged 60–79 years) patients with COVID-19 were included, out of which 312 (19.1%) had a myocardial injury. Patients with myocardial injury were older (36.9% > 80 years) and had higher cardiovascular-related comorbidities than those without. The prevalence of cardiovascular risk factors (78.5% vs. 52.0%) and cardiovascular diseases (78.2% vs. 56.1%) was much higher in the myocardial-injury group. Older age (50–64 years vs. <49 years; OR, 3.67 [1.99–6.74]), Angiotensin Receptor Blockers (ARBs) (OR, 1.44 [1.01–2.05]), Beta-blockers (OR, 2.37 [1.80–3.13]), and cardiovascular comorbidities (OR, 1.49 [1.09–2.05]) were strong predictors of cardiac injury after multivariable adjustment. Myocardial injury was strongly associated with ICU admission (adjusted OR, 1.68 [1.29–2.19]) and longer length of hospital stay (median days, 5 (3, 9) vs. 4 (2, 7)). The results do not show a significant difference in the use of mechanical ventilation (OR, 1.29 [0.87–1.89]) or in-hospital mortality (OR, 1.37 [0.98–1.91]) with respect to myocardial injury. Conclusion: This multicenter retrospective study of nearly 1600 patients revealed the following findings: Myocardial injury was observed in 1 out of 5 patients hospitalized with COVID-19 but was more often clinically insignificant. Patients of age > 65 had very high odds of having elevated troponin levels after adjusting for sex and other illnesses. Pre-existing cardiac diseases and risk factors were robust predictors of cardiac injury after adjusting for age and sex. In the adjusted model, myocardial injury was not associated with the requirement of mechanical ventilation or change in in-hospital mortality. Full article
(This article belongs to the Special Issue COVID-19 and the Cardiovascular System)
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