• Maria Ana Trêpa, Hipólito ReisAntónioAServiço de Cardiologia. Centro Hospitalar Universitário do Porto. Porto. Departamento de Medicina. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto. Portugal., and Mario Oliveira.
• Serviço de Cardiologia. Centro Hospitalar Universitário do Porto. Porto; Serviço de Cuidados Intensivos. Centro Hospitalar Universitário do Porto. Porto; Cardiovascular Research Group. Unidade Multidisciplinar de Investigação Biomédica. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto. Portugal.
• Acta Medica Port. 2021 Aug 31; 34 (9): 608-614.

IntroductionReports of cardiovascular complications related to the COVID-19 infection have been frequent.MethodsNarrative review for relevant articles on the topic. The classic cardiovascular risk factors, like age, obesity, diabetes, and hypertension are associated with adverse outcomes in COVID-19 patients. Cardiovascular complications can have a diverse clinical presentation including silent myocardial injury, acute coronary syndromes, thromboembolism, cardiac arrhythmias, and heart failure. There are multiple mechanisms of cardiac injury that are not mutually exclusive. The approach to diagnosis and management should be carried out according to usual practice, while considering the particularities of COVID-19 infection.ConclusionThe interaction between SARS-CoV-2 and the heart is complex and is manifested in multiple ways. Regardless of the clinical presentation, cardiac complications convey a worse prognosis. Patients should be actively monitored and treated accordingly.

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