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    COVID-19 and Acute Heart Failure: Screening the Critically Ill - A Position Statement of the Cardiac Society of Australia and New Zealand (CSANZ)

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    Author
    Lal, S; Hayward, CS; Pasquale, CD; Kaye, D; Javorsky, G; Bergin, P; Atherton, JJ; Ilton, MK; Weintraub, RG; Nair, P; ...
    Date
    2020-07-01
    Source Title
    Heart Lung and Circulation
    Publisher
    ELSEVIER SCIENCE INC
    University of Melbourne Author/s
    Weintraub, Robert
    Affiliation
    Paediatrics (RCH)
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Lal, S., Hayward, C. S., Pasquale, C. D., Kaye, D., Javorsky, G., Bergin, P., Atherton, J. J., Ilton, M. K., Weintraub, R. G., Nair, P., Rudas, M., Dembo, L., Doughty, R. N., Kumarasinghe, G., Juergens, C., Bannon, P. G., Bart, N. K., Chow, C. K., Lattimore, J. -D. ,... Macdonald, P. S. (2020). COVID-19 and Acute Heart Failure: Screening the Critically Ill - A Position Statement of the Cardiac Society of Australia and New Zealand (CSANZ). HEART LUNG AND CIRCULATION, 29 (7), pp.E94-E98. https://doi.org/10.1016/j.hlc.2020.04.005.
    Access Status
    Access this item via the Open Access location
    URI
    http://hdl.handle.net/11343/254455
    DOI
    10.1016/j.hlc.2020.04.005
    Open Access URL
    https://europepmc.org/articles/PMC7252099?pdf=render
    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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