Acute myocardial injury is quite common in the context of COVID-19. NICE had produced a rapid review guideline.
Our cardiologists suggest that on a practical level clinical assessment is key. In patients with severe COVID disease, Tn elevation is most likely to be due to non-atheromatous cause, angiograms are not often required and can be hazardous with virus contamination and the need for transfer of unstable patients.
Equally in patients with mild COVID, chest pain with ECG changes and a Tn rise is more likely to be due to type 1 MI due to atheromatous disease.
Having reviewed the guidance they state that advice from local cardiology is key and any concerns about cardiac injury can be referred to them.