Key result
Endomyocardial biopsy in a COVID-19 patient with cardiogenic shock revealed SARS-CoV-2 viral particles in interstitial macrophages but not in cardiomyocytes, suggesting indirect cardiac injury.
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This editorial highlights that in COVID-19 patients with cardiogenic shock, SARS-CoV-2 may localize in cardiac macrophages rather than cardiomyocytes, suggesting indirect mechanisms like cytokine storm rather than direct viral myocarditis.
Linthout et al. (2020) conducted an editorial in SARS-CoV-2-related myocarditis-like syndromes. SARS-CoV-2 infection was evaluated. Endomyocardial biopsy in a COVID-19 patient with cardiogenic shock revealed SARS-CoV-2 viral particles in interstitial macrophages but not in cardiomyocytes, suggesting indirect cardiac injury.
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