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Figure 3: The SARS COV2 may cause myocardial effect either directly or indirectly. Interaction of the virus with the immune cells results in proinflammatory response by induction of T- and B- cells and production of inflammatory soup which comprises of Interferon, Interleukin (IL) -1,6,8,21, monocyte chemotactic protein (MCP)-1 and Tumor Necrosis factor ß etc. This inflammatory soup can act on myocardium to cause myocarditis and myocardial Injury. The SARS COV 2 can also act on myocardium directly causing myocarditis, myocardial injury, and Endothelial injury. Together the effect on myocardium may result in Acute Coronary syndrome (ACS), Heart failure, and Cardiogenic shock

Figure 3: The SARS COV2 may cause myocardial effect either directly or indirectly. Interaction of the virus with the immune cells results in proinflammatory response by induction of T- and B- cells and production of inflammatory soup which comprises of Interferon, Interleukin (IL) -1,6,8,21, monocyte chemotactic protein (MCP)-1 and Tumor Necrosis factor ß etc. This inflammatory soup can act on myocardium to cause myocarditis and myocardial Injury. The SARS COV 2 can also act on myocardium directly causing myocarditis, myocardial injury, and Endothelial injury. Together the effect on myocardium may result in Acute Coronary syndrome (ACS), Heart failure, and Cardiogenic shock