COVID-19 Cardiomyopathy: Case-Based Discussions

COVID-19 is a complex, multisystem disease that can have profound effects on many parts of the body, including the heart. The association between COVID‐19 and the cardiovascular system has been well-described in the literature. This lecture will review cases, by a multidisciplinary team, detailing both primary and secondary cardiac manifestations of COVID-19, proper echocardiography protocol and clinical findings to guide disease management in patients with cardiomyopathy.

Target Audience

Cardiologists, interventional cardiologists, cardiothoracic surgeons, vascular surgeons, interventional radiologists, echocardiography specialists, pulmonologists, hematologists, general internists, primary care physicians, intensivists, emergency medicine physicians, hospitalists, nurses, nurse practitioners, physician assistants, respiratory therapists (direct delivery) and other interested healthcare providers.

Learning Objectives

  • Recognize both primary and secondary cardiac manifestations of COVID-19.
  • Determine the appropriate evaluation and proper echocardiography protocols.
  • Appropriately interpret the findings to guide disease management.
Additional information
Bibliography: 
  • Wang, D., Hu, B., Hu, C., Zhu, F., Liu, X., Zhang, J., ... & Peng, Z. (2020). Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama, 323(11), 1061-1069.
  • Agricola, E., Beneduce, A., Esposito, A., Ingallina, G., Palumbo, D., Palmisano, A., ... & De Cobelli, F. (2020). Heart and lung multimodality imaging in COVID-19. JACC: Cardiovascular Imaging.
  • Mahmud, E., Dauerman, H. L., Welt, F. G., Messenger, J. C., Rao, S. V., Grines, C., ... & Henry, T. D. (2020). Management of acute myocardial infarction during the COVID-19 pandemic. Journal of the American College of Cardiology.
  • Fried, J. A., Ramasubbu, K., Bhatt, R., Topkara, V. K., Clerkin, K. J., Horn, E., ... & Sayer, G. (2020). The variety of cardiovascular presentations of COVID-19. Circulation, 141(23), 1930-1936.
  • Sandoval, Y., Januzzi Jr, J. L., & Jaffe, A. S. (2020). Cardiac troponin for the diagnosis and risk-stratification of myocardial injury in COVID-19: JACC Review Topic of the Week. Journal of the American college of cardiology. 
     
Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 General certificate of attendance
  • 1.50 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.50 Florida Board of Respiratory Therapy
Course opens: 
04/27/2021
Course expires: 
10/31/2022

David Bejar, M.D., FACC
Cardiologist, Internal Medicine
Baptist Health South Florida

Sandra V. Chaparro, M.D., FACC
Director, Advanced Heart Failure
Miami Cardiac & Vascular Institute
Baptist Health South Florida
Professor, Department of Translational Medicine
Herbert Wertheim College of Medicine
Florida International University

Elliott J. Elias, M.D., MPH, FACC, FASE                            
Cardiologist
Medical Director, Cardiac and Structural Imaging
Miami Cardiac & Vascular Institute
Baptist Health South Florida

Eli M. Friedman, M.D., FACC
Medical Director, Sports Cardiology
Miami Cardiac & Vascular Institute
Baptist Health South Florida

Socrates V. Kakoulides, M.D.
Medical Director, Diagnostic Center
Miami Cardiac & Vascular Institute
Baptist Health Medical Group

Marcus E. St. John, M.D., FACC, FSCAI
Interventional Cardiologist 
Medical Director, Cardiac Catheterization Lab
Miami Cardiac & Vascular Institute 
Baptist Health Quality Network                    
Baptist Health Medical Group
Baptist, Doctors, South Miami and West Kendall Baptist Hospitals

David Bejar, M.D., Sandra V. Chaparro, M.D., Elliott J. Elias, M.D., Marcus E. St. John, M.D. and Socrates V. Kakoulides, M.D., faculty of this educational activity, have no relevant financial relationships with ineligible companies* to disclose. They have indicated that their presentations or discussions will not include off-label or unapproved product usage. 

Elliott J. Elias, M.D., faculty for this educational event, is on the speakers’ bureau for Abbott Laboratories, and has indicated that his presentation or discussion will not include off-label or unapproved product usage. 

Harry R. Aldrich, M.D., conference director, has indicated that he has no relevant financial relationships with ineligible companies* to disclose.

Theodore Feldman, M.D., conference director, is on the speakers' bureau with Eli Lilly, Novo Nordisk, Astra Zeneca and Boeringer Ingelheim.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have relevant financial relationships to disclose with ineligible companies*.

All of the relevant financial relationships listed for these individuals have been mitigated.

*Ineligible companies – Companies whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 General certificate of attendance
  • 1.50 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.50 Florida Board of Respiratory Therapy
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