Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
J Cardiothorac Vasc Anesth. 2021 Jun;35(6):1860-1865. doi: 10.1053/j.jvca.2020.04.041. Epub 2020 Apr 30.
The coronavirus disease-2019 (COVID-19) has become a global pandemic. It has spread to more than 100 countries, and more than 1 million cases have been confirmed. Although coronavirus causes severe respiratory infections in humans, accumulating data have demonstrated cardiac complications and poor outcome in patients with COVID-19. A large percent of patients have underlying cardiovascular disease, and they are at a high risk of developing cardiac complications. The basics of the virus, the clinical manifestations, and the possible mechanisms of cardiac complications in patients with COVID-19 are reviewed. Before an effective vaccine or medicine is available, supportive therapy and identifying patients who are at high risk of cardiac complications are important.
2019 年冠状病毒病(COVID-19)已成为全球性大流行。它已传播到 100 多个国家,确诊病例超过 100 万例。尽管冠状病毒会导致人类严重的呼吸道感染,但越来越多的数据表明,COVID-19 患者存在心脏并发症和不良预后。很大一部分患者患有基础心血管疾病,他们发生心脏并发症的风险很高。本文回顾了该病毒的基础知识、临床表现以及 COVID-19 患者心脏并发症的可能发生机制。在有效疫苗或药物问世之前,支持性治疗和识别心脏并发症高危患者非常重要。