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Covid-19: Doctors should be alert for signs of myocardial injury, says NICE

Doctors treating patients with known or suspected covid-19 should be vigilant for signs of acute myocardial injury, a new rapid guideline from the National Institute for Health and Care Excellence has said.1

Symptoms of acute myocardial injury include chest pain, heart palpitations, severe tiredness, and shortness of breath and are similar to the respiratory complications of covid-19 so might be overlooked, particularly in patients without pre-existing heart disease.

Acute myocardial injury was observed in 9.5% of all patients who died in hospital in Italy with covid-19, NICE pointed out, and its guideline is …