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CorSalud
versão On-line ISSN 2078-7170
Resumo
DE LA TORRE FONSECA, Luis M.. Myocardial injury in patients with COVID-19. CorSalud [online]. 2020, vol.12, n.2, pp. 171-183. Epub 01-Jun-2020. ISSN 2078-7170.
Since the first reports of patients infected with SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) appeared in the Chinese province of Wuhan, the infection by the new coronavirus has infected more than 4.7 millions of people, and the amount of deaths is greater than 315,000, until May 18, 2020. The myocardial injury or damage is defined as the detection of a value of cardiac troponins (T or I) above the 99th percentile of the upper reference limit. The exact mechanism, from which this infection by the new coronavirus causes damage to the heart cells, has not been completely clarified; however, numerous factors could be taken into account: imbalance between the supply and the demand, systemic inflammatory response, hypoxia, microvascular dysfunction and the direct myocardial injury caused by the virus.
Palavras-chave : COVID-19; Angiotensin-converting enzyme; Myocardial injury; Cytokine storm.