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Article ; Online: Factors associated with myocardial SARS-CoV-2 infection, myocarditis, and cardiac inflammation in patients with COVID-19.

Bearse, Mayara / Hung, Yin P / Krauson, Aram J / Bonanno, Liana / Boyraz, Baris / Harris, Cynthia K / Helland, T Leif / Hilburn, Caroline F / Hutchison, Bailey / Jobbagy, Soma / Marshall, Michael S / Shepherd, Daniel J / Villalba, Julian A / Delfino, Isabela / Mendez-Pena, Javier / Chebib, Ivan / Newton-Cheh, Christopher / Stone, James R

Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc

2021  Volume 34, Issue 7, Page(s) 1345–1357

Abstract: ... the relationships between cardiac pathological changes in patients dying from COVID-19 and cardiac infection by SARS ... inflammation, myocarditis, cardiac infection by SARS-CoV-2, clinical features, laboratory measurements, and ... COVID-19 has been associated with cardiac injury and dysfunction. While both myocardial ...

Abstract COVID-19 has been associated with cardiac injury and dysfunction. While both myocardial inflammatory cell infiltration and myocarditis with myocyte injury have been reported in patients with fatal COVID-19, clinical-pathologic correlations remain limited. The objective was to determine the relationships between cardiac pathological changes in patients dying from COVID-19 and cardiac infection by SARS-CoV-2, laboratory measurements, clinical features, and treatments. In a retrospective study, 41 consecutive autopsies of patients with fatal COVID-19 were analyzed for the associations between cardiac inflammation, myocarditis, cardiac infection by SARS-CoV-2, clinical features, laboratory measurements, and treatments. Cardiac infection was assessed by in situ hybridization and NanoString transcriptomic profiling. Cardiac infection by SARS-CoV-2 was present in 30/41 cases: virus
MeSH term(s) Aged ; Anticoagulants/therapeutic use ; Autopsy ; COVID-19/blood ; COVID-19/pathology ; Echocardiography ; Electrocardiography ; Female ; Humans ; Immunosuppressive Agents/therapeutic use ; Male ; Myocarditis/pathology ; Myocarditis/virology ; Myocardium/pathology ; Retrospective Studies ; SARS-CoV-2/physiology ; COVID-19 Drug Treatment
Chemical Substances Anticoagulants ; Immunosuppressive Agents
Language English
Publishing date 2021-03-17
Publishing country United States
Document type Journal Article
ZDB-ID 645073-8
ISSN 1530-0285 ; 0893-3952
ISSN (online) 1530-0285
ISSN 0893-3952
DOI 10.1038/s41379-021-00790-1
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