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. 2020 Oct 19;76(17):2011–2023. doi: 10.1016/j.jacc.2020.08.059

Central Illustration.

Central Illustration

Overview of the Mechanisms of Myocardial Injury in Patients With Coronavirus Disease 2019

Myocardial injury in the setting of COVID-19 is frequent and associated with poor prognosis. The mechanisms through which COVID-19 can cause myocardial injury are heterogeneous and include oxygen supply–demand imbalance, microvascular and macrovascular thrombosis, inflammation-related injury, stress-induced cardiomyopathy, and direct viral invasion of the myocardium.

COVID-19 = coronavirus disease 2019; IL = interleukin; MI = myocardial infarction; SARS-CoV-2 = severe acute respiratory syndrome coronavirus 2; TNF = tumor necrosis factor.