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2019冠状病毒病与心力衰竭:一种多参数方法

Coronavirus Disease 2019 and Heart Failure: A Multiparametric Approach.

作者信息

Oliveros Estefania, Brailovsky Yevgeniy, Scully Paul, Nikolou Evgenia, Rajani Ronak, Grapsa Julia

机构信息

Zena and Michael A Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai New York, NY, US.

Center for Advanced Cardiac Care, Columbia University Irving Medical Center New York, NY, US.

出版信息

Card Fail Rev. 2020 Aug 14;6:e22. doi: 10.15420/cfr.2020.09. eCollection 2020 Mar.

Abstract

Coronavirus disease 2019 (COVID-19) is a debilitating viral infection and, to date, 628,903 people have died from it, numbers that cannot yet be compared to the 50 million who died in the 1918 flu pandemic. As COVID-19 became better understood, cardiovascular manifestations associated with it were identified. This led to a complete healthcare restructuring with virtual clinics and changes to the triaging of critically ill patients. There are a lot of questions over how COVID-19 affects patients with heart failure (HF) as this condition is a leading cause of cardiovascular death. This review describes the cardiovascular implications of COVID-19 and new practices surrounding the use of telehealth to follow up and triage patients with HF. Current practices supported by medical societies, the role of angiotensin-converting enzyme inhibitors and, finally, a brief note regarding the management of advanced HF patients will also be discussed.

摘要

2019冠状病毒病(COVID-19)是一种使人虚弱的病毒感染,截至目前,已有628903人死于该病,这一数字尚无法与1918年流感大流行中死亡的5000万人相比。随着对COVID-19的了解日益深入,与之相关的心血管表现被识别出来。这导致了医疗保健的全面重组,包括虚拟诊所的出现以及危重症患者分诊方式的改变。关于COVID-19如何影响心力衰竭(HF)患者存在诸多疑问,因为这种疾病是心血管死亡的主要原因。本综述描述了COVID-19对心血管的影响以及围绕使用远程医疗对HF患者进行随访和分诊的新做法。还将讨论医学协会支持的现行做法、血管紧张素转换酶抑制剂的作用,最后简要提及晚期HF患者的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5c8/7479531/83640d874ac5/cfr-6-e22-g001.jpg

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