Don’t just think fever and respiratory symptoms. We are seeing COVID19 patients that have a predominantly cardiac presentation: palpitations, arrhythmias, reduced cardiac function, myocarditis and elevated troponin. #covidresus

• Cardiac symptoms can be the first sign of COVID19.
• Patients can have palpitations and chest pain without the typical fever and cough. 
• In a case series study of 187 patients with COVID-19, 27.8% of patients had myocardial injury, which resulted in cardiac dysfunction and arrhythmias. Published in JAMA Cardiology
• Myocardial injury has a significant association with fatal outcome of COVID-19