ABC Heart Fail Cardiomyop 2023; 3(1): e20230015

Post-COVID-19 Cardiomyopathy in Children and Adults: Fact or Fiction?

Anna Esther Araujo e Silva, Ana Flavia Malheiros Torbey ORCID logo , Aurea Lucia Alves de Azevedo Grippa de Souza ORCID logo

DOI: 10.36660/abchf.20230015

Since the emergence of the novel coronavirus 2019 disease (COVID-19), cardiovascular impairment and alterations in cardiology laboratory tests suggestive of myocardial injury, even in patients without cardiovascular symptoms, have been observed in hospitalized children and adults.

Epidemiological data from China have suggested that cardiac injury may occur in 19% to 28% of hospitalized patients with COVID-19. Several factors seem to contribute to myocardial damage, and potential mechanisms of injury include: hypoxic injury, stress cardiomyopathy, ischemic lesion caused by cardiac microvascular dysfunction, small vessel cardiac vasculitis, endotheliitis, epicardial coronary artery disease, right heart distention (acute cor pulmonale with pulmonary embolism), myocarditis, systemic inflammatory response syndrome (cytokine storm), and others , ().

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Post-COVID-19 Cardiomyopathy in Children and Adults: Fact or Fiction?

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