Monaldi Archives for Chest Disease (Jun 2022)

Cardiac biomarkers and mortality in COVID-19 infection: A review

  • Angelica Cersosimo,
  • Giuliana Cimino,
  • Ludovica Amore,
  • Emiliano Calvi,
  • Greta Pascariello,
  • Riccardo Maria Inciardi,
  • Carlo Mario Lombardi,
  • Enrico Vizzardi,
  • Marco Metra

DOI
https://doi.org/10.4081/monaldi.2022.2276

Abstract

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Lots of meta-analysis emphasize that a great number of hospitalized patients with moderate and severe forms of COVID-19 developed acute myocardial damage, defined as an increase of cardiac biomarkers, such N-terminal pro–B-type natriuretic peptide (NT-pro-BNP), creatine kinase-myocardial band (CK-MB) and of all type of troponins. The highest mortality rate is related with progressively increasing biomarkers levels and with a history of cardiovascular disease. In fact, the biomarkers dosage should be considered as a prognostic marker in all patients with COVID-19 disease at admission, during hospitalization and in the case of clinical deterioration. The purpose of this review is to evaluate cardiovascular prognostic factors in COVID-19 disease throughout the analysis of cardiac biomarkers to early identify the most serious patients and to optimize their outcomes.

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