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[新冠病毒与心血管疾病和肾脏疾病:我们目前的状况如何?我们将走向何方?]

[COVID-19 and cardiovascular and kidney disease: Where are we? Where are we going?].

作者信息

Pallarés Carratalá V, Górriz-Zambrano C, Morillas Ariño C, Llisterri Caro J L, Gorriz J L

机构信息

Medicina Familiar y Comunitaria, Unidad de Vigilancia de la Salud, Unión de Mutuas, Castellón, España; Departamento de Medicina, Facultad de Ciencias de la Salud, Universitat JaumeI, Castellón, España.

Medicina Familiar y Comunitaria, CAP Sant Pere, ABS Reus1, Reus, Tarragona, España.

出版信息

Semergen. 2020 Aug;46 Suppl 1:78-87. doi: 10.1016/j.semerg.2020.05.005. Epub 2020 May 11.

Abstract

The SARS-CoV-2 pandemic is a global health emergency and we need to know more about it. Patients with cardiovascular risk and previous kidney risk have been identified as especially vulnerable for greater morbidity and mortality when they suffer from COVID-19. A considerable proportion of patients can develop a vascular lesion in the context of the disease that entails a greater lethality. Cardiovascular and renal complications represent a problem and, probably in the near future, may pose a threat to patients who have survived COVID-19. As physicians, we cannot forget that during an epidemic like this, other chronic diseases are present, and patients continue to require care. We are obliged to monitor even more intensely their treatments and control degree. Furthermore, we must not forget that urgent situations continue to arise in this pandemic situation and require prompt attention. In this current situation, it is very likely that many patients, out of fear, have not sought medical attention. The situation during the epidemic and the uncertainty of the post-COVID-19 period, requires intensification in the control and monitoring of cardiovascular and kidney disease in our patients. Primary care constitutes a key level of care for the care of the population with cardiovascular disease. Likewise, and in the face of this new health scenario, we need to promote the prevention and control measures that emanate from the studies currently underway. Now, more than ever, we need research, crucial to improve the cardiovascular and renal prognosis of our patients.

摘要

新型冠状病毒肺炎大流行是一场全球卫生突发事件,我们需要对其有更多了解。已确定有心血管疾病风险和既往肾脏疾病风险的患者在感染新冠病毒时,更易出现较高的发病率和死亡率。相当一部分患者在患病过程中会出现血管病变,这会导致更高的致死率。心血管和肾脏并发症是个问题,而且在不久的将来,可能会对新冠病毒肺炎康复患者构成威胁。作为医生,我们不能忘记,在这样一场疫情期间,其他慢性病依然存在,患者仍需要治疗。我们有义务更加密切地监测他们的治疗情况和控制程度。此外,我们绝不能忘记,在这场疫情中紧急情况仍不断出现,需要迅速处理。在当前这种情况下,很可能许多患者出于恐惧而未寻求医疗救治。疫情期间的情况以及新冠病毒肺炎康复后的不确定性,要求我们加强对患者心血管和肾脏疾病的控制与监测。基层医疗是心血管疾病患者护理的关键层面。同样,面对这种新的健康形势,我们需要推广目前正在进行的研究得出的预防和控制措施。现在,我们比以往任何时候都更需要开展研究,这对于改善患者的心血管和肾脏预后至关重要。

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Clinical Features of COVID-19-Related Liver Functional Abnormality.新型冠状病毒病相关肝功能异常的临床特征。
Clin Gastroenterol Hepatol. 2020 Jun;18(7):1561-1566. doi: 10.1016/j.cgh.2020.04.002. Epub 2020 Apr 10.
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COVID-19 and the Heart.新型冠状病毒肺炎与心脏
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[The damn pandemic: An opportunity for Primary Health Care].[该死的疫情:初级卫生保健的机遇]
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