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Covid-19 and Heart

  • Covid-19 Discovery:  First detected in Wuhan City, Hubei province, China in December 2019
  • Pandemic: On 11 March, the World Health Organization (WHO) declared COVID-19 a pandemic
  • Heart and Covid-19: Heart and Cardiovascular disease top the list of co-morbidity associated with Covid-19 associated death.
  • Direct effect on Heart: Covid-19 can affect heart along with lung infection, or directly heart and blood vessels alone

How does Covid-19 affect heart and blood circulation?

European Society of Cardiology and American College of Cardiology, and World Heart Federation have summarized the interaction of Covid-19 and Heart.

Demand Ischemia

  • When Covid-19 affects your lungs, your oxygen supply is reduced. Heart has to work harder to supply oxygen to your body.
  • When Covid-19 affects your heart directly, it reduces the pumping power of heart directly.
  • Both conditions depend on how much cardiac reserve you have.
  • In other words, more cardio-vascular fitness you have better is your odd against winning over Covid-19 heart.

Inflammation of Heart Muscle

  • 1 in 5 patients with COVID-19 have signs of heart injury, regardless of whether they had respiratory symptoms  
  • Inflammation of the heart muscle (myocarditis) can be part of generalized hyper-inflammation syndrome or localized inflammation of the heart muscle.

Direct Viral Infection of Heart

  • Coronavirus can directly infect heart and blood vessels by binding on ACE2 receptors
  • Infection of the heart muscle or blood vessel can be part of generalized Covid-19 infection as well
  • The result is poor pumping power of the heart (cardiomyopathy)

Micro-vascular Thrombus or Embolism

  • Excess of blood clotting (thrombus) and clot spreading (embolism) can affect any organ in the body
  • Direct injury to the inner lining (endothelium) of blood vessels, stasis, easy clotting tendency (hyper-coagulability) is three key factors.
  • Cytokine storm is the medical word used to describe this perfect storm

How does Covid-19 Heart Condition Present?

The COVID-19 heart can lead to:

  • Acute coronary syndrome: Acute chest pain and palpitation, or heart attack
  • Heart Failure: Pumping power of the heart is reduced
  • Cardiogenic shock: Low blood pressure and collapse
  • Cardiac arrhythmia: Palpitations, skipped beats

Tests for Covid-19 Heart Markers

At our Jiva health clinics we track your cardiovascular reserve and inflammation

  • Blood tests for anti-inflammatory defense: Omega-3 index
  • Stool test for gut biome anti-inflammatory defense: GI map stool test
  • Sleep tests to reduce sleep apnea and insomnia related aggravation of inflammation

Summary of Action Plan for Covid-19 heart

  • Anti-inflammatory diet and supplements
  • Balancing gut biome with diet and specific Prebiotics and Probiotics
  • Treating sleep apnea and other sleep disorders
  • Treating pre-existing heart and cardio-vascular conditions
  • Treating diabetes and obesity, which are major contributors to heart conditions
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