Table 1.
Summary of the main evidences on clinical variables in patients with HF who were affected by COVID-19
Variable | Evidence |
---|---|
Left diastolic dysfunction | Often subclinical and reversible in early phases8 16 |
Left systolic dysfunction | Typical of forms with important cytokines release8 Associated with a higher need of mechanical ventilation16 |
Right heart dysfunction | Associated with secondary pulmonary hypertension11 Can be triggered by high positive end-expiratory pressure12 |
Troponin | Abnormal levels associated with pre-existing chronic heart failure3 Levels >28 ng/mL associated with “nonsurvivor” phenotypes4 |
NT-proBNP | Levels >900 pg/mL associated with increased mortality3 Increased in presence of myocardial injury3 |
ACEIs/ARBs | Associated with lower levels of troponin and NT-proBNP35 No difference in clinical course from patients not treated35 Associated with less severe disease, lower cytokines release, lower viral load36 |
ACEIs/ARBs, ACE inhibitors/angiotensin receptor blockers; COVID-19, coronavirus disease 2019; NT-proBNP, N-terminal-pro-B-type natriuretic peptide.