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10.1016/j.amjcard.2020.07.010

http://scihub22266oqcxt.onion/10.1016/j.amjcard.2020.07.010
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C7355325!7355325!32762961
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suck abstract from ncbi


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pmid32762961      Am+J+Cardiol 2020 ; 132 (ä): 147-9
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  • Cardiac Involvment in COVID-19?Related Acute Respiratory Distress Syndrome #MMPMID32762961
  • Lazzeri C; Bonizzoli M; Batacchi S; Cianchi G; Franci A; Fulceri GE; Peris A
  • Am J Cardiol 2020[Oct]; 132 (ä): 147-9 PMID32762961show ga
  • The cardiac involvement in Coronavirus disease (COVID-19) is still under evaluation, especially in severe COVID-19-related Acute Respiratory Distress Syndrome (ARDS). The cardiac involvement was assessed by serial troponin levels and echocardiograms in 28 consecutive patients with COVID-19 ARDS consecutively admitted to our Intensive Care Unit from March 1 to March 31. Twenty-eight COVID-19 patients (aged 61.7 ± 10 years, males 79%). The majority was mechanically ventilated (86%) and 4 patients (14%) required veno-venous extracorporeal membrane oxygenation. As of March 31, the Intensive Care Unit mortality rate was 7%, whereas 7 patients were discharged (25%) with a length of stay of 8.2 ±5 days. At echocardiographic assessment on admission, acute core pulmonale was detected in 2 patients who required extracorporeal membrane oxygenation support. Increased systolic arterial pressure was detected in all patients. Increased Troponin T levels were detectable in 11 patients (39%) on admission. At linear regression analysis, troponin T showed a direct relationship with C-reactive Protein (R square: 0.082, F: 5.95, p?=?0.017). In conclusions, in COVID-19-related ARDS, increased in Tn levels was common but not associated with alterations in wall motion kinesis, thus suggesting that troponin T elevation is likely to be multifactorial, mainly linked to disease severely (as inferred by the relation between Tn and C-reactive Protein). The increase in systolic pulmonary arterial pressures observed in all patients may be related to hypoxic vasoconstriction. Further studies are needed to confirm our findings in larger cohorts.
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