2020 December
Volume : 8 Issue : S1

Heart failure in COVID-19 pandemic: Challenging management issues

Patnaik S, Patnaik AN

Pdf Page Numbers :- 74-80

Soumya Patnaik1, and Amar Narayan Patnaik2,*


1Fellow, Division of Cardiovascular Disease, University of Texas Health Sciences Center, Houston; Texas, USA

2Senior Consultant Cardiologist, Star Hospitals, Hyderabad-500029, India


*Corresponding author: Dr. AN. Patnaik, MD., Senior Consultant Cardiologist, Star Hospitals, Road No.10, Banjara Hills, Hyderabad- 500034. Tel.: 9490421969; Email:


Received 5 October 2020; Revised 4 November 2020; Accepted 11 November 2020; Published 19 November 2020


Citation: Patnaik S, Patnaik AN. Heart failure in COVID-19 pandemic: Challenging management issues. J Med Sci Res. 2020; 8(S1):74-80. DOI:


Copyright: © 2020 Patnaik S et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Over these 12 months of coronavirus disease 2019 (COVID-19) pandemic, the patients of heart failure (HF) showed higher risk of severe disease and increased mortality. Their evaluation and treatment when additionally affected with COVID-19 posed many new challenges, as one condition can potentiate the other and there is considerable overlap of their presenting features. The pandemic also impacted the existing health care systems with changed priorities. Known HF patients becoming worse after acquiring the COVID-19 infection or the new development of acute cardiac complications in persons without any prior heart disease- both are novel therapeutic issues which have no perfect answers for want of adequate data and randomised trials. Newer suggestions are emerging in the management of HF with concomitant COVID-19 from experience from various sources. We have to keep our minds open and learn every day.


Keywords: heart failure; coronavirus; COVID-19; management; SARS-CoV-2