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COVID-19, caused by the SARS-CoV-2 virus, has generated a global pandemic with a wide range of clinical manifestations. Cardiovascular complications are frequently observed in individuals with COVID-19, particularly those with preexisting cardiovascular risk factors or diseases. Cardiac biomarkers, including troponin, natriuretic peptides, and inflammatory markers, play a vital role in risk stratification, diagnosis, monitoring, and prognosis in COVID-19 patients. These biomarkers provide valuable insights into cardiac injury, myocardial stress, inflammation, and the prediction of adverse cardiovascular outcomes. This review aims to provide better understanding of how Cardiac biomarkers correlate to clinical manifestation of COVID-19.
Methods:
We retrieved studies from PubMed, Medline, and Google Scholars that included results on cardiac biomarkers in COVID-19. Total of 14 studies were reviewed.
Results:
8 studies showed evidence of poor progression of the disease when there is increased troponin. 6 studies out of the 14 mentioned in this review showed positive correlation between mortality and elevation in cardiac biomarkers. This shows the significance of cardiac biomarkers in predicting the mortality in patients with COVID-19.
Conclusion:
It was shown that elevated cardiac biomarkers were associated significantly to poor outcome of covid-19 infection. The outcomes that were linked to increased cardiac biomarkers included increased length of hospitalization, need of life sustaining treatment, myocarditis, invasive and non-invasive respiratory support, and even death were linked to elevated cardiac biomarkers levels.
By
Leora Pinhas, Toronto General Research Institute, Toronto, ON, Canada,
Debra K. Katzman, Toronto General Research Institute, Toronto, ON, Canada,
Gina Dimitropoulos, Toronto General Research Institute, Toronto, ON, Canada,
D. Blake Woodside, Toronto General Research Institute, Toronto, ON, Canada
The identification of children and adolescents with bulimia nervosa (BN) or syndromes including binge-eating has been an area of development in recent years. This chapter reviews this increasingly important area, providing an overview of the nature of these phenomena, risk factors for their development and the medical complications of these disorders. Few clinical research studies have specifically focused on the medical complications of binge eating disorder (BED) and BN in children and adolescents. Abnormalities of fluids and electrolytes, most commonly hypokalaemia, are found in children and adolescents with BN. Cardiovascular abnormalities occur in adolescents with BN and cause significant morbidity and mortality. Gastrointestinal complications occur frequently and are a major source of morbidity for patients with BN. Binge eating can result in gastric dilatation, necrosis and perforation. The chapter has attempted to provide a comprehensive review of the nature of BN and binge-eating symptoms in children and adolescents.
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