Department of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria/Department of Medicine, University College Hospital Ibadan, NG.
Institute of Advanced Medical Research and Training, College of Medicine, University of Ibadan, NG.
Glob Heart. 2021 Mar 15;16(1):18. doi: 10.5334/gh.829.
The current pandemic of SARS-COV 2 infection (Covid-19) is challenging health systems and communities worldwide. At the individual level, the main biological system involved in Covid-19 is the respiratory system. Respiratory complications range from mild flu-like illness symptoms to a fatal respiratory distress syndrome or a severe and fulminant pneumonia. Critically, the presence of a pre-existing cardiovascular disease or its risk factors, such as hypertension or type II diabetes mellitus, increases the chance of having severe complications (including death) if infected by the virus. In addition, the infection can worsen an existing cardiovascular disease or precipitate new ones. This paper presents a contemporary review of cardiovascular complications of Covid-19. It also specifically examines the impact of the disease on those already vulnerable and on the poorly resourced health systems of Africa as well as the potential broader consequences on the socio-economic health of this region.
当前,由严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)引起的疫情(COVID-19)正给全球卫生系统和社区带来挑战。在个体层面,与 COVID-19 相关的主要生物学系统是呼吸系统。其呼吸道并发症的表现从轻症流感样症状到致命性呼吸窘迫综合征,再到重症、暴发性肺炎不等。严重的是,心血管疾病的存在或其风险因素(如高血压或 2 型糖尿病)会增加感染病毒后发生严重并发症(包括死亡)的几率。此外,该感染还可能使原有心血管疾病恶化或引发新的疾病。本文对 COVID-19 的心血管并发症进行了综述。还特别研究了该疾病对那些已经脆弱的人群以及对非洲资源匮乏的卫生系统的影响,以及对该地区社会经济健康的潜在更广泛影响。