Factors associated with myocardial SARS-CoV-2 infection, myocarditis, and cardiac inflammation in patients with COVID-19.


Journal

Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
ISSN: 1530-0285
Titre abrégé: Mod Pathol
Pays: United States
ID NLM: 8806605

Informations de publication

Date de publication:
07 2021
Historique:
received: 30 12 2020
accepted: 13 02 2021
revised: 12 02 2021
pubmed: 18 3 2021
medline: 29 6 2021
entrez: 17 3 2021
Statut: ppublish

Résumé

COVID-19 has been associated with cardiac injury and dysfunction. While both myocardial inflammatory cell infiltration and myocarditis with myocyte injury have been reported in patients with fatal COVID-19, clinical-pathologic correlations remain limited. The objective was to determine the relationships between cardiac pathological changes in patients dying from COVID-19 and cardiac infection by SARS-CoV-2, laboratory measurements, clinical features, and treatments. In a retrospective study, 41 consecutive autopsies of patients with fatal COVID-19 were analyzed for the associations between cardiac inflammation, myocarditis, cardiac infection by SARS-CoV-2, clinical features, laboratory measurements, and treatments. Cardiac infection was assessed by in situ hybridization and NanoString transcriptomic profiling. Cardiac infection by SARS-CoV-2 was present in 30/41 cases: virus

Identifiants

pubmed: 33727695
doi: 10.1038/s41379-021-00790-1
pii: S0893-3952(22)00585-3
doi:

Substances chimiques

Anticoagulants 0
Immunosuppressive Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1345-1357

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Auteurs

Mayara Bearse (M)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.

Yin P Hung (YP)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Aram J Krauson (AJ)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.

Liana Bonanno (L)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Baris Boyraz (B)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Cynthia K Harris (CK)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

T Leif Helland (TL)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Caroline F Hilburn (CF)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Bailey Hutchison (B)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Soma Jobbagy (S)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Michael S Marshall (MS)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Daniel J Shepherd (DJ)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Julian A Villalba (JA)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Isabela Delfino (I)

Uniube University, Uberaba, Brazil.

Javier Mendez-Pena (J)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.

Ivan Chebib (I)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Department of Pathology, Harvard Medical School, Boston, MA, USA.

Christopher Newton-Cheh (C)

Cardiovascular Research Center & Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Boston, MA, USA.

James R Stone (JR)

Department of Pathology, Massachusetts General Hospital, Boston, MA, USA. jrstone@partners.org.
Department of Pathology, Harvard Medical School, Boston, MA, USA. jrstone@partners.org.

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