PT  - JOURNAL ARTICLE
AU  - Paul C. Cremer
TI  - SARS-CoV-2 and myocardial injury: Few answers, many questions
AID  - 10.3949/ccjm.87a.ccc001
DP  - 2020 Sep 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 521--525
VI  - 87
IP  - 9
4099  - http://www.ccjm.org/content/87/9/521.short
4100  - http://www.ccjm.org/content/87/9/521.full
SO  - Cleve Clin J Med2020 Sep 01; 87
AB  - Acute cardiac injury, defined as an elevated high-sensitivity troponin I or troponin T upon admission or during hospitalization, is common in patients with COVID-19, occurring in 10% to 35% of patients depending on the assay used and the population studied. Even though the mechanisms of SARS-CoV-2 myocardial injury are not well defined, type 1 myocardial infarction and fulminant myocarditis are rare. Often, acute cardiac injury occurs in patients with elevated inflammatory markers, and both are associated with worse outcomes. However, the extent to which treatments should differ for patients with acute cardiac injury, heightened systemic inflammation, or both, is unknown.