id author title date pages extension mime words sentences flesch summary cache txt cord-344853-s2p2csrx Hendren, Nicholas S. Description and Proposed Management of the Acute COVID-19 Cardiovascular Syndrome 2020-04-16 .txt text/plain 6688 357 34 A substantial minority of patients hospitalized develop an acute COVID-19 cardiovascular syndrome, which can manifest with a variety of clinical presentations but often presents as an acute cardiac injury with cardiomyopathy, ventricular arrhythmias, and hemodynamic instability in the absence of obstructive coronary artery disease. S ince the index cases were first reported in Wuhan, China, in December 2019, coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a global pandemic infecting >1 million individuals by early April 2020. In this document, we focus on a prominent myocarditis-like syndrome involving acute myocardial injury often associated with reduced left ventricular ejection fraction in the absence of obstructive coronary artery disease. Additional studies, including collection of endomyocardial tissue by biopsy and autopsy studies, are required to delineate the pattern and proportion of ACovCS related to acute myocarditis versus general myocardial injury caused by systemic cytokine dysregulation. ./cache/cord-344853-s2p2csrx.txt ./txt/cord-344853-s2p2csrx.txt