Id |
Subject |
Object |
Predicate |
Lexical cue |
T93 |
0-30 |
Sentence |
denotes |
2.2.1 Acute myocardial injury |
T94 |
31-124 |
Sentence |
denotes |
Acute myocardial injury is the most commonly described CV complication in COVID-19 (Table 1). |
T95 |
125-316 |
Sentence |
denotes |
Different reports have used different definitions for acute myocardial injury, including rise in cardiac enzymes (different biomarkers and cut-offs) and/or electrocardiographic abnormalities. |
T96 |
317-473 |
Sentence |
denotes |
However, an elevation of high-sensitivity cardiac troponin I (cTnI) above 99th percentile upper reference limit is the most commonly used definition.Table 1 |
T97 |
474-634 |
Sentence |
denotes |
The overall incidence of acute cardiac injury has been variable but roughly 8–12% of the positive cases are known to develop significant elevation of cTnI [10]. |
T98 |
635-904 |
Sentence |
denotes |
The aforementioned meta-analysis of the Chinese studies [4] reported 8% incidence of acute cardiac injury whereas another study including only those patients who had had a definite outcome (death or discharge from hospital) reported 17% incidence of cTnI elevation [5]. |
T99 |
905-1066 |
Sentence |
denotes |
Regardless of the actual incidence, acute cardiac injury has been consistently shown to be a strong negative prognostic marker in patients with COVID-19 [5,6,8]. |
T100 |
1067-1185 |
Sentence |
denotes |
The patients admitted to ICU or having severe/fatal illness have several-fold higher likelihood of troponin elevation. |
T101 |
1186-1324 |
Sentence |
denotes |
In contrast, the incidence of elevated troponin has been very low (only 1–2%) in patients having mild illness not requiring ICU admission. |
T102 |
1325-1452 |
Sentence |
denotes |
Any of the mechanisms described above can lead to acute cardiac injury and rise in cardiac troponins in patients with COVID-19. |
T103 |
1453-1677 |
Sentence |
denotes |
The relative role of these different mechanisms has not been described but direct (i.e. non-coronary) myocardial injury due to viral myocarditis or the effect of systemic inflammation appear to be the most common mechanisms. |
T104 |
1678-1814 |
Sentence |
denotes |
These observations are supported by a previous autopsy study in patients who had died due to SARS during the Toronto SARS outbreak [11]. |
T105 |
1815-1976 |
Sentence |
denotes |
In this study, the viral ribonucleic acid was detected in 35% of the autopsied human heart samples, providing evidence for direct myocardial injury by the virus. |
T106 |
1977-2098 |
Sentence |
denotes |
No study has described the incidence of ST-segment elevation myocardial infarction in COVID-19, but it appears to be low. |
T107 |
2099-2248 |
Sentence |
denotes |
Similarly, the incidence of left ventricular systolic dysfunction, acute left ventricular failure and cardiogenic shock have also not been described. |
T108 |
2249-2333 |
Sentence |
denotes |
Only one Chinese study reported incidence of heart failure in COVID-19 patients [5]. |
T109 |
2334-2471 |
Sentence |
denotes |
Heart failure had occurred in 52% of the patients who subsequently died and in 12% of the patients who were discharged from the hospital. |