COVID-19 and Heart Disease – creating a worrisome cardiac conundrum

With the COVID-19 leaving a wreck in its way for much of last year, it has created a new generation of cardiac patients. The pandemic targeted both the immune and respiratory systems primarily, which resulted in impaired breathing, loss of taste, loss of smell, high fever and lethargy. 

Heart disease ranks among the leading cause of fatalities globally, and the current pandemic created an epidemic within a pandemic i.e. one crisis within the other. This hence created the cardiology conundrum.

Experienced physicians involved in various sectors of healthcare including those involved in cardiology (as well as the best cardiologist in Dubai) reveal that this phenomenon is the largest medical mystery they have encountered and witnessed in their lives.

The way patients are triaged, diagnosed, treated and monitored will for the long term because of COVID-19. Perhaps nowhere has become more evident than in the field of cardiology.

Is the COVID-19 induced novel coronavirus in its infancy?

The way patients are attended, diagnosed, treated and monitored will forever change because of the COVID-19. Perhaps nowhere has this become more evident than in the field of cardiology. Yet the virus is in its infancy, it somehow has layers upon layers of complications and complexities which has contradicted observations of even the most top-notch virologists. 

The outcome of such is contrary observations and evidence about the impact it has one the human heart.

What did the Chinese cardiologists detect in COVID-19 patients in the earlier days of the dreadful virus?

In the early days, clinicians and cardiologists in People’s Republic of China reported signs of myocarditis and heart disease associated with COVID-19 patients. The data helped explain the sudden spike in the cardiac arrests outside hospitals in the hard-hit region of northern Italy. 

There, Professor Luigi Badano, director of the cardiovascular imaging unit at Istituto Auxologico Italiano, IRCCS, and professor of cardiology at the University of Milano-Bicocca, used strain imaging on ultrasound to understand the working of the right ventricle in determining the augury of those patients who have survived the virus.

What is the situation of the COVID-19 in the United States?

At the moment, COVID-19 cases in the United States surpassed the 5 million mark with record numbers of hospitalizations. New studies are supporting the earlier evidence which suggest that patients of COVID-19 might have long term heart damage. Whereas another individual study conducted & published by the American Heart Association (AHA) shows suspected damage to the heart may not be myocarditis but rather a unique pattern of cell death in scattered individual cells of the heart muscle.

These studies and observations were small in size, yet they were eye-opening. They hence underlined the need for more research conducted on larger sample sizes that can help bring out solid conclusions to guide effective therapies and treatments. However, the practice of medicine takes a lot of time.

Role of Hospitals in regulating patient health to optimal margins

Hospitals have been working diligently to reassure patients in seeking medical care during the pandemic and that it is safe to seek care at hospitals. However, the fear the contagion has created resulted in many patients delaying care.

A well-known medical technology company having three and a half decades of experience in cardiology, they have anticipated that the delay has put lives of patients having pre-existing cardiac issues, at a greater risk of long-term harm, and an additional burden on cardiologists as they manage care with new constraints.

Simultaneously, technology is opening the door for patient care to exist beyond a hospital’s boundaries, in managing patients on site and providing their caregivers with the latest and up-to-date information on their well-being.

When it comes to treating patients of COVID-19, clinical personnel around the globe are already using advanced technologies, such as ECG to perform rapid first line diagnostic tests for identification of cardiac emergencies and improving patient registrations.

Also, AI (artificial intelligence) enabled ultrasound such as a handheld device for quick, fast and objective ejection fraction measurement and a point-of-care ultrasound system sutomates critical information in a matter of seconds which is needed by ER personnel and ICU doctors in determining the heart pumping enough blood via primary arteries to the organs