Forgotten Right Ventricle Entity: In Post Acute Covid Symptomatic (PASC) Patients

Abstract

Introduction World has just passed through the global pandemic of Covid-19 disease with recent reports of it resurfacing in China. Although being a disease predominantly affecting lungs the involvement of other organs like heart, brain and gut have also been seen in the acute phase. PASC (post acute SARS Covid-19) is another distinct phase of the disease seen amongst survivors from both mild and severe disease where the patients continue to suffer from symptoms of palpitations, dysnoea on exertion ,chest pain and fatigue. Few studies have been done in such patients to assess ongoing cardiac involvement. Most of these patients show normal left and right ventricle Ejection fraction, normal troponin levels with nonspecific EKG findings of sinus tachycardia. Some of these patients are made to undergo cardiac MR to rule out covid-19 myocarditis. Here also most of the imaging specialists and the cardiologists are focused on the left ventricle only and look for the Lake Loius criteria to establish or rule out diagnosis.