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About half of the Corona hospital suffers from heart damage | Israel today

2020-06-10T09:30:57.940Z


| healthIsraeli research has revealed infectious disease damage and has proven by advanced means that the virus causes a right ventricular injury in the heart • Heart damage increases as the disease worsens Concerns about matching: At the beginning of the Corona epidemic, reports began to come from China about myocardial injury as part of the effects of the disease. Dr. Yishai Skelly, a senior physiologi...


Israeli research has revealed infectious disease damage and has proven by advanced means that the virus causes a right ventricular injury in the heart • Heart damage increases as the disease worsens

Concerns about matching: At the beginning of the Corona epidemic, reports began to come from China about myocardial injury as part of the effects of the disease. Dr. Yishai Skelly, a senior physiologist at the cardiology department at Ichilov Hospital in Tel Aviv, initiated a cardiac echo and lung sonar examination for hospitalized coronary patients at all levels of the disease, with the aim of detecting a primary cardiac injury and providing a basis for comparison in case of deterioration in the condition.

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In a study published on the basis of the results of 100 hospitalized patients, who had physician partners from the Cardiology and Intensive Care Unit, it was found that 40% of patients developed right ventricular dysfunction with varying degrees of severity corresponding to the severity of the disease. In patients with a rise in blood levels of troponin (an enzyme released during myocardial damage), again, mainly right ventricular injury was found. Even in patients with deterioration during hospitalization, right ventricular dysfunction could be seen in a consecutive cardiac echo. Only the minority of patients were found to be impaired in the function of the left ventricle.

Following the study, doctors concluded that a right ventricular injury was the hallmark of Corona's cardiac injury. The reason for this was explained by Professor Jan Topaliski, Deputy Director of the Cardiovascular Hospital: "The cardiac damage is probably the result of pulmonary injury - the right ventricle of the heart" sees "a high pulmonary pressure and its function is impaired as a result."

So why does pulmonary pressure rise? Dr. Yael Lichter, a senior physician in the general intensive care unit, explained that there are several hypotheses for the phenomenon: And even using high soul pressure, "are possible causes of lung injury.

This is a study of great importance, as it is the first in the world to systematically describe cardiac injury to corona patients using cardiac imaging, rather than laboratory tests alone. Performing the tests in patients in serious condition and in patients whose condition worsened throughout the hospitalization contributed to understanding the reasons for the deterioration and the direction of care for these patients.

As for heart function after recovering from the acute illness, patients will need to continue to be monitored, doctors said.

Source: israelhayom

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