COVID-19 has become a public health emergency of international concern. Among laboratory confirmed cases of COVID-19, patients with comorbidity yielded poorer clinical outcomes than those without. A greater number of comorbidities also corre lated with clinical outcome, say experts.
Immune dysregulation and prolonged in flammations might be the key drivers of the poor clinical outcome in patients with COVID-19, but heart function may decrease, too, in COVID times. Sometimes this decrease is a consequence of the systemic inflamma tory response to infection and occasionally in some people, because of direct viral in fection in heart.
There are two main cardiac issues – heart failure and arrhythmia. Heart failure hap pens when the heart muscle does not pump blood as well as it should. Arrhythmia is ab normal heart rhythm. Heart failure can de velop due to inflammatory response to the in fection, high lung pressure from lung dam age or from heart inflammation known as my. myocarditis. Heart arrhythmia is either related to infection or effect of medications use to treat the virus (like HCQS).
Tips for cardiac, diabetic and hypertensive patients:
- Maintain a good routine
- Stick to sleep schedule.
- Take medications at the appropriate time.
- Eat balanced meals and be physically active
- Eat healthy food (Fresh fruits and vegetables whole grains and nuts, chicken or any low fat protein)
- Good control of blood sugar and blood pressure (Doctor say one can continue ACE inhibitors or ARB (like telmisartan or olmesartan).
- Stop smoking.
- Stay in touch with your doctor.
Dr Manoj Kumar, MD, DM, FACC
Director Cardiology & HOD Cath Lab
Max Hospital, Delhi