The murky waters of the coronavirus are finally beginning to clear up, showing that the heart has a significant impact on how COVID-19 affects people.
Cardiovascular Effects of COVID-19
Studies from Wuhan, China, were the
first to be released. 27.8% of COVID-19 hospitalized patients were found to
have heart damage, according to one report from March 2020. Others did not,
although some of them did have prior heart issues. More studies from Europe and
the US have continued to shed light on the numerous ways COVID-19 impacts the
heart. A tutelage from BLS Certification
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Damage to the heart from COVID-19
Doctors frequently examine your
cardiac enzymes if you visit the hospital with heart problems or a possible
COVID-19 infection. These exams check for proteins and enzymes like troponin
and creatine kinase that rise when your heart is harmed (CK). Troponin and
creatine kinase leak from the heart into circulation as a result of damage to
heart muscle cells. Increased levels of these enzymes on blood tests are a
certain indication that the heart is in difficulty.
Recommendations for Generally Preventing COVID-19
Transmission During CPR and First Aid
Although there isn't any concrete
information on COVID-19 transmission during CPR or first aid at this time, it
is plausible to assume that the close contact required for various first aid
procedures and the possibility of transmission from chest compressions to
respiratory droplets or aerosols exist.
Advice for Conducting a Breathing Assessment and Rescue
Breaths in Children or Adults
Although CPR with breaths is more
effective than compression-only CPR during the COVID-19 epidemic, it is
currently advised against performing rescue breaths on adult cardiac arrest
patients who have confirmed or suspected COVID-19 due to the potential of
disease transmission. The following actions are advised and may reduce the risk
of spreading the virus:
● We advised that the CPR/first aid
caregiver search for breathing but not listen or feel for the victim's
breathing to avoid unnecessary exposure.
● We advise CPR/first aid providers to
perform continuous compression-only CPR on adult patients of sudden cardiac
arrest until paramedics arrive. Note: When compared to no CPR, compression-only
CPR saves lives.
● Standard CPR, which involves
compressions and rescue breaths, may be helpful in cases of cardiac arrest that
follow a respiratory issue (which frequently happens in newborns and young
children), drowning, and drug overdose. It is acknowledged that the sufferer
may occasionally additionally have COVID-19.
Advice for Compressions
Every cardiac arrest victim should
perform chest compressions and utilize an AED if one is accessible. Whether or
not a cardiac arrest victim is thought to have COVID-19, 9-1-1 should be
dialed, and if an AED is accessible, it should be used.
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