Is right ventricular damage in COVID-19 association between myocardial injury and COVID-19?

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asked Oct 4, 2023 in Diseases Conditions by armitage (2,330 points)
Is right ventricular damage in COVID-19 association between myocardial injury and COVID-19?

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answered Oct 28, 2023 by Flocraz (19,470 points)
Yes the right ventricular damage in COVID-19 is in association between myocardial injury and COVID-19.

With an increase in imaging evidence, such as echocardiography and magnetic resonance imaging (MRI), right ventricular (RV) involvement has been observed more commonly than left ventricular (LV) involvement in patients with COVID-19, with ~40% of patients experiencing RV dilatation and RV dysfunction (5, 6).

The heart conditions that are high risk for COVID are heart failure and congestive heart failure that causes tiredness and breathlessness increases your risk of COVID.

The 5 abnormalities that can be found on the echocardiogram are.

Abnormal heart valves.
Congenital heart disease (abnormalities present at birth)
Damage to your heart muscle from a heart attack.
Heart murmurs.
Inflammation ( pericarditis ) or fluid in the sac around the heart (pericardial effusion)

If an ECG is abnormal is can be a sign of damage or changes to the heart muscle or changes in the amount of electrolytes like calcium or potassium in the blood.

An abnormal ECG can also indicate a congenital heart defect as well.

You can live a normal life with ventricular tachycardia as sometimes ventricular tachycardia occurs in structurally normal hearts and is not serious if the ventricular tachycardia stops on it's own.

Any Ventricular Tachycardia that occurs in the setting of structural heart disease is more concerning and often can be life threatening.

Ventricular tachycardia is not a death sentence unless the episodes of ventricular tachycardia lasts longer than a few seconds which in those cases the ventricular tachycardia or sustained V-tach can become life threatening.

Some cases of ventricular tachycardia can be brief and last only a couple seconds without causing any harm.

Treatment for ventricular tachycardia may include medication, a shock to the heart (cardioversion), catheter procedures or surgery to slow the fast heart rate and reset the heart rhythm.

The cause of ventricular tachycardia is a faulty heart signal or faulty heart signaling which triggers a fast heart rate in your lower heart chambers also known as the ventricles.

A fast heart rate does not allow your ventricles to fill and squeeze or contract to pump the proper amount of blood to your body.

Ventricular Tachycardia can cause fatigue as well as lightheadedness and a feeling like your heart is going to burst along with anxiety and chest pain.

To prevent ventricular tachycardia get plenty of exercise, eat healthy, keep your blood pressure in check and maintain a healthy heart.

If you have ventricular tachycardia, you may be given medications called anti-arrhythmics by mouth or IV to slow the fast heart rate.

Other heart medications, such as calcium channel blockers and beta blockers, may be prescribed with anti-arrhythmic drugs.

The first-line treatment for ventricular tachycardia are anti-arrhythmic medications such as amiodarone which is most commonly used, along with lidocaine, and in some cases procainamide.

The most common cause of ventricular tachycardia is heart disease although stress and anxiety can lead to ventricular tachycardia as well.

Most cases ventricular tachycardia is caused by heart disease, such as a previous heart attack, a congenital heart defect, hypertrophic cardiomyopathy, dilated cardiomyopathy, or myocarditis.

Amiodarone is the drug of choice for the treatment of hemodynamically unstable VT that is refractory to other antiarrhythmic agents.

Prehospital studies currently suggest that amiodarone is safe and efficacious for use in out-of-hospital cardiac arrest.

The drug of choice for ventricular tachycardia is amiodarone.

Amiodarone is used to treat life-threatening heart rhythm problems called ventricular arrhythmias.

This medicine is used in patients who have already been treated with other medicines that did not work well.

Ventricular tachycardia does sometimes go away on it's own within 30 seconds.

However if the ventricular tachycardia does not go away within 30 seconds it can be life threatening so you need medical attention to get it to go away.

Ventricular Tachycardia can be serious if it lasts longer than a few seconds which it can then be life threatening.

Ventricular tachycardia episodes may be brief and last only a couple of seconds without causing harm.

But episodes lasting more than a few seconds can be life-threatening.

Sometimes ventricular tachycardia can cause the heart to stop (sudden cardiac arrest).

Ventricular tachycardia is a type of abnormal heart rhythm, or arrhythmia.

It occurs when the lower chamber of the heart beats too fast to pump well and the body doesn't receive enough oxygenated blood.

Tachycardia does not always shorten your life but if left untreated the tachycardia can shorten your life and cause death eventually.

Some people with tachycardia have no symptoms, and complications never develop.

However, it can increase the risk of stroke, heart failure, sudden cardiac arrest, and death.

There are different types of tachycardia, depending on which part of the heart has the problem.

Tachycardia can damage the heart if left untreated and in serious cases can cause death.

Some forms of tachycardia can lead to serious health problems, including heart failure, stroke or sudden cardiac death.

Being dehydrated can cause tachycardia.

Also when you're dehydrated your blood pressure can lower your blood pressure and also lead to heart palpitations.

Dehydration causes strain on your heart.

The amount of blood circulating through your body, or blood volume, decreases when you are dehydrated.

To compensate, your heart beats faster, increasing your heart rate and causing you to feel palpitations.

Staying properly hydrated is important to help keep your heart healthy and working properly.

Anxiety as well as stress can cause tachycardia and if the tachycardia is a result of anxiety or stress then it usually is not serious and will go away.

With tachycardia your heart rate may speed up to 200 beats per minute or even faster.

A fast heart rate can make you feel lightheaded and short of breath.

Or you might feel fluttering or pounding in the chest.

Usually, tachycardia that happens in response to emotional stress and only lasts a few minutes is not harmful.

Tachycardia cannot be cured by changes to your lifestyle and medications can help treat the tachycardia condition.

You may also need to have a procedure, such as an ablation, to help you manage the tachycardia condition.

To treat tachycardia you can take some aspirin or other NSAIDS, drink some water, relax and lay down and try calming down as much as possible.

Most cases of tachycardia resolve on their own but in more severe cases you may need a pacemaker installed to control the heart palpitations.

The doctor can also give you some medications to help treat the tachycardia condition as well.

To treat tachycardia at home the best thing you can do is try to relax, take some aspirin and drink some water.

The tachycardia should resolve itself within a few hours of resting but if not or it gets worse you should see a doctor or get to the emergency room if you think you're having a heart attack.

The most common triggers for tachycardia are stress, anxiety, Strenuous Exercise, Fear, Fever and even some medications can trigger tachycardia.

Even street drugs can lead to tachycardia as it speeds your heart up.

You should worry about tachycardia if you experience unexplained tachycardia or the tachycardia does not go away within 8 hours or less or the tachycardia continues longer than a day.

Also if you experience palpitations, dizziness, lightheadedness, fainting spells, fatigue, breathlessness or chest pain along with the tachycardia or you have had heart attacks before, have heart disease etc.

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