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本文引用的文献

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Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study.中国武汉严重 COVID-19 患者的临床病程和结局:一项单中心、回顾性、观察性研究。
Lancet Respir Med. 2020 May;8(5):475-481. doi: 10.1016/S2213-2600(20)30079-5. Epub 2020 Feb 24.
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Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury.从 2019 年新冠病毒感染患者中提取的临床和生化指标与病毒载量和肺部损伤有关。
Sci China Life Sci. 2020 Mar;63(3):364-374. doi: 10.1007/s11427-020-1643-8. Epub 2020 Feb 9.
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The Extent of Transmission of Novel Coronavirus in Wuhan, China, 2020.2020年中国武汉新型冠状病毒的传播范围
J Clin Med. 2020 Jan 24;9(2):330. doi: 10.3390/jcm9020330.
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Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.中国武汉地区 2019 年新型冠状病毒感染患者的临床特征。
Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24.
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Coronavirus infections and immune responses.冠状病毒感染与免疫应答。
J Med Virol. 2020 Apr;92(4):424-432. doi: 10.1002/jmv.25685. Epub 2020 Feb 7.
6
A Novel Coronavirus from Patients with Pneumonia in China, 2019.2019 年中国肺炎患者中的一种新型冠状病毒。
N Engl J Med. 2020 Feb 20;382(8):727-733. doi: 10.1056/NEJMoa2001017. Epub 2020 Jan 24.
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The Middle East Respiratory Syndrome (MERS).中东呼吸综合征(MERS)。
Infect Dis Clin North Am. 2019 Dec;33(4):891-905. doi: 10.1016/j.idc.2019.08.001.
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Severe Acute Respiratory Syndrome: Historical, Epidemiologic, and Clinical Features.严重急性呼吸系统综合征:历史、流行病学和临床特征。
Infect Dis Clin North Am. 2019 Dec;33(4):869-889. doi: 10.1016/j.idc.2019.07.001.
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Pathogenic human coronavirus infections: causes and consequences of cytokine storm and immunopathology.致病性人类冠状病毒感染:细胞因子风暴和免疫病理学的成因及后果
Semin Immunopathol. 2017 Jul;39(5):529-539. doi: 10.1007/s00281-017-0629-x. Epub 2017 May 2.
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Isolation and characterization of a bat SARS-like coronavirus that uses the ACE2 receptor.一种使用 ACE2 受体的蝙蝠 SARS 样冠状病毒的分离与鉴定
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聚焦 COVID-19 与心血管疾病。

A close-up on COVID-19 and cardiovascular diseases.

机构信息

Cardiology Division in Geriatric Institute, Hebei General Hospital, Shijiazhuang, Hebei, China.

General Clinical Laboratory, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.

出版信息

Nutr Metab Cardiovasc Dis. 2020 Jun 25;30(7):1057-1060. doi: 10.1016/j.numecd.2020.04.001. Epub 2020 Apr 8.

DOI:10.1016/j.numecd.2020.04.001
PMID:32423664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7141632/
Abstract

AIMS

To analyze the potential mechanism of cardiovascular dysfunctions induced by Coronavirus Disease 2019 (COVID-19) and to evaluate more effective therapeutic pathways for patients with cardiovascular diseases.

DATA SYNTHESIS

COVID-19 mainly invades the lungs, causing its serious damage. Studies found that COVID-19 induced the renin-angiotensin system imbalance, inflammatory storm, hypoxemia, stress response, and so on; all contributed to hypertension and serious myocardial damage in the process of virus pathogenesis, even increasing mortality in COVID-19 patients.

CONCLUSION

In the process of management of COVID-19 infections, close attention should be paid on both lung and cardiovascular damage, especially on those with only symptoms of cardiovascular diseases. Early identification, timely and effective treatments, and maintenance of hemodynamics and electrophysiological stability are of great significance on effective treatment and long-term prognosis.

摘要

目的

分析 2019 年冠状病毒病(COVID-19)引起的心血管功能障碍的潜在机制,并评估心血管疾病患者更有效的治疗途径。

数据综合

COVID-19 主要侵犯肺部,造成严重损害。研究发现,COVID-19 引起肾素-血管紧张素系统失衡、炎症风暴、低氧血症、应激反应等,这些都有助于病毒发病过程中的高血压和严重心肌损伤,甚至增加 COVID-19 患者的死亡率。

结论

在 COVID-19 感染的管理过程中,应密切关注肺部和心血管损伤,特别是那些仅有心血管疾病症状的患者。早期识别、及时有效的治疗以及维持血流动力学和电生理稳定性对有效治疗和长期预后具有重要意义。