Diagnosing acute myocardial injury in patients with suspected or confirmed COVID-19
1. Be aware that myocardial injury and its complications:
2. Be aware that acute myocardial injuries in patients with COVID-19 include:
3. Be aware that symptoms suggesting acute myocardial injury in patients with COVID-19 include:
Guideline concerning diagnostic tests:
o Evolving ECG changes suggesting myocardial ischemia
o NT-proBNP level above 400 ng/L
o High levels of high sensitivity troponin (hs)cTnI or hs-cTnT), particularly levels increasing over time
Be aware that elevated troponin levels may reflect cardiac inflammatory response to severe illness rather than acute coronary syndrome, and should be considered in the clinical context