In December 2019, the world started to face a new pandemic situation, the severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2). The virus binds and enters through angiotensin-converting enzyme 2 (ACE2). COVID-19 can result in systemic inflammation, multiorgan dysfunction, and critical illness. Although coronavirus disease (COVID-19) clinical manifestations are mainly respiratory, major cardiac complications are being reported. The probability of worsening is thought to be between 25% and 35% in COVID-19 individuals who experience problems such acute respiratory distress syndrome, tachycardia, and shock. The intensive care unit might need to admit these individuals (ICU). It appears that older people who have underlying conditions such hypertension, diabetes, liver, renal, cancers, and cardiovascular illnesses are more likely to die. This virus can harm a variety of organs, including the kidneys, liver, immune system, heart, and circulatory systems. Multiple organ failure, acute respiratory distress syndrome, arrhythmias, heart failure, and kidney damage are the end results of these injuries, which ultimately cause death. Previously, the Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS) viruses, which are also members of the coronavirus family, have been linked to cardiac symptoms such as myocardial infarction, acute myocarditis, and even heart failure. The recently discovered COVID 19 may also come with these cardiovascular problems. Patients who have SARS-CoV-2 experience arrhythmias and cardiac damage, same like those who have the SARS virus. All forms of pneumonia can be expected to have cardiac problems. In patients with pre-existing coronary artery disease, pneumonia may worsen symptomless heart failure or potentially lead to myocardial infarction. It may also make arrhythmia worse. However, pneumonia can result in myocardial infarction, arrhythmia, or even new-onset heart failure. Get in touch with our ace Cardiac Surgeon Dr. Nagesh Aysola for knowing more about Covid related complications on heart health.

1. IMPACT OF COVID-19 ON CARDIAC HEALTH
• PRESENTATION BY: DR. NAGESH AYALASOMAYAJULA
• HEART TRANSPLANT SURGEON
• CARE HOSPTAL, NAMPALLY
• HYDERABAD

2. ONSET OF COVID-19
• In December 2019, the world started to face a new pandemic situation, the
severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2).
• The virus binds and enters through angiotensin-converting enzyme 2
(ACE2). COVID-19 can result in systemic inflammation, multiorgan
dysfunction, and critical illness.
• Although coronavirus disease (COVID-19) clinical manifestations are mainly
respiratory, major cardiac complications are being reported.

3. CONTINUED…
• The probability of worsening is thought to be between 25% and 35% in
COVID-19 individuals who experience problems such as acute respiratory
distress syndrome, tachycardia, and shock.
• It appears that older people who have underlying conditions such as
hypertension, diabetes, liver, renal, cancers, and cardiovascular illnesses are
more likely to die.

4. PNEUMONIA AND COVID
• All forms of pneumonia can be expected to have cardiac problems.
• In patients with pre-existing coronary artery disease, pneumonia may worsen
symptomless heart failure or potentially lead to myocardial infarction. It may also
make arrhythmia worse.
• However, pneumonia can result in myocardial infarction, arrhythmia, or even new-
onset heart failure.

5. CONTINUED…
• This virus can harm a variety of organs, including the kidneys, liver, immune
system, heart, and circulatory systems.
• Multiple organ failure, acute respiratory distress syndrome, arrhythmias,
heart failure, and kidney damage are the end results of these injuries, which
ultimately cause death.

6. CONTINUED…
• Previously, the Middle East respiratory syndrome (MERS) and Severe Acute
Respiratory Syndrome (SARS) viruses, which are also members of the
coronavirus family, have been linked to cardiac symptoms such as
myocardial infarction, acute myocarditis, and even heart failure.
• The recently discovered COVID-19 may also come with these cardiovascular
problems. Patients who have SARS-CoV-2 experience arrhythmias and
cardiac damage, the same as those who have the SARS virus.

7. • For more information please visit Dr. Nagesh’s website http://dranagesh.in/ for
further details.
• Dr. Nagesh Aysola is a leading heart transplant surgeon practicing at CARE
hospital, Nampally, and has provided consultation to several patients during the
pandemic through telemedicine.

8. THANK YOU