Bengaluru: The recovery patient from Covid-19 is at a higher risk of suffering from a heart attack despite the severity of viral infection, a study by a doctor at the Cardiovascular Science Institute of Sri Jayadeva Bengaluru (SJICSR) has been found.
The doctor in Sjicsr studied 26 patients – all had recovered from Covid – and the conditions were documented in the first post-covid heart attack registry.
Everything survives with the right treatment.
The registry was launched on June 1 after the doctor pays attention to the patient’s trend recovering from Covid but then returns with a heart attack symptom.
All 26 were treated in Jayadeva between June 1 to 30 with acute coronary syndromes or a heart attack.
Cohort does not include active Covid-19 patients who suffer a heart attack.
Nine of 26 are women and all of them are over the age of 30, including five of which are above 60.
Ten, or 36%, do not have risk factors.
Of 26, only 10 were hospitalized when they suffered from Covid, including two treated in the ICU.
16 The rest does not show symptoms.
The time interval between Covid diseases and heart attacks is between 21 days and 108 days (average 51.5 days).
‘Study of incidents and clinical profiles of acute coronary arterial syndrome (heart attack) in the case of restored Covid infection’ was carried out by a team led by Dr.
Rahul S Patil, an intervention & head cardiologist, premature heart disease division, Sudicsr and including CN Manjunath , Director and Doctor Sridhar L, Jayshree Kharge, Nataraj Shetty and Chhanhan Kumar.
This study was originally intended to be completed in a month but extended for two more months to study the effects of the second wave.
“Covid has implications for heart function, because it interferes with the blood clotting mechanism,” Dr.
Patil.
“Of the 26 patients, 24 has cardiac complications within three months recovering from Covid.” Mostly infected during the second wave.
The typical symptom of this patient presents significant signs of heart attack such as chest pain, sweating, fatigue, said Dr.
Manjunath.
The conclusion of the study shows the most common heart presentation is acute myocardial infarction.
Almost half the group has come up with a delayed presentation.
“The reason for postponing the presentation can be in the form of confusion between post-covid symptoms or ‘covid length’ and heart symptoms.
Therefore, the need to spread awareness about these symptoms is increasingly acute,” said Dr.
Patil.
Dr.
Patil said cholesterol plaque (cholesterol deposits) in the coronary arteries were usually stable and rarely caused problems.
But when people suffer from Covid, this plaque becomes unstable due to high inflammation.
“Stable plaque broke and became unstable and turned into raw wounds in the arteries.
Blood cells, platelets flowing through the arteries began to stick to the wound and they formed a clump that hindered all arteries.
This leads to a heart attack,” said Dr.
Patil said.
“We have heard of some cases of post-covid massive heart arrests that lead to death.
But these cases are not documented, and they may be at the end of the spectrum.” Dr.
Manjunath said Covid led to a hyper-inflammatory response that could cause Block of blood in the arteries.
“There are some cases like this before Covid too, but in this case, they all suffer from Covid.
So, it is safe to say Covid can be a trigger factor.” He said considering the risk factors, they recovered from viral diseases, especially them What was treated in the ICU, was placed on blood thinners for two to three months.
SJICSR has seen a total of 400 cases of patients with active Covid infections that suffer from heart disease from January 2021 to June.
“Death in the case of a heart attack during active Covid infection is 19% according to our data,” Dr.
Manjunath said.
However, in these cases, Covid patients suffer inflammation in the heart muscle that leads to myocardial injury.