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hospitalised patients. Arrythmias were seen in 16.7%. Patient with
known coronary artery disease and heart failure patients are at higher
risk than others. We can expect higher mortality when it is associated
with acute myocarditis, acute myocardial infarction, and rapid-
onset heart failure.
3
According to the data available in the previous
outbreaks, the patients with SARS or MERS with HFrEF had higher
requirement of ventilators.
4
As of now there is no anti-viral treatment proven to be effective for
Novel Wuhan Coronavirus COVID-19. Anti-viral medications like
Lopinavir and Ritonavir are widely used as they were proved effective
in case of SARS and MERS. Use of steroids is controversial as it has
no proven benefts on mortality.
Acknowledgments
None.
Conficts of interest
The authors declare that they have no conficts of interest.
Funding
None.
Author’s contributions
Rajesh Rajan participated in data analysis and manuscript
preparation. Mohammed Al Jarallah participated in manuscript
preparation. Raja Dashti participated in the drafting of manuscript.
All authors have read and approved the manuscript.
References
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Citation: Rajan R, Jarallah MAI, Dashti R. Cardiovascular complications of novel Wuhan Coronavirus (COVID-19) – A 2020
update. J Cardiol Curr Res. 2020;13(1):28. DOI: 10.15406/jccr.2020.13.00468
28
©2020 Rajan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
Cardiovascular complications of novel Wuhan
Coronavirus (COVID-19) – A 2020 update
Volume 13 Issue 1 - 2020
Rajesh Rajan, Mohammed Al Jarallah, Raja
Dashti
Department of Cardiology, Al-Amiri Hospital, Kuwait
Correspondence: Dr. Rajesh Rajan, Department of Cardiology,
Sabah Al Ahmad Cardiac Center, Amiri Hospital, Kuwait,
Email
Received: February 18, 2020 | Published: February 24, 2020
Journal of Cardiology & Current Research
Opinion
Open Access
Keywords: novel wuhan coronavirus, COVID-19, severe acute
respiratory syndrome, middle east respiratory syndrome coronavirus
Opinion
Novel Wuhan Coronavirus (COVID-19) induced atypical viral
pneumonia was frst reported in Wuhan city, China in December 2019.
As reported earlier, severe acute respiratory syndrome coronavirus
(SARS-CoV) is a milder version of coronavirus with 10% mortality
rate whereas Middle East respiratory syndrome coronavirus (MERS-
CoV) has a mortality rate of 37%. Acute respiratory distress syndrome
with cytokine storm may be the reason for the increased mortality in
Novel Wuhan Coronavirus COVID-19. Clinical presentation of Novel
Wuhan Coronavirus COVID-19 is similar to SARS but the mortality
rate is documented high among the COVID-19 patients.
1,2
Among the patient admitted with COVID-19 upto 40% had pre-
existing cardio-vascular disease. Elevated cardiac troponin which
suggests virus load induced cardiac injury, was seen in 7.2% of