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内皮素在 COVID-19 引起的肺动脉高压发病机制中的可能意义。

"The possible implication of endothelin in the pathology of COVID-19-induced pulmonary hypertension".

机构信息

M.Sc/ Assistant Lecturer, Department of Medical Pharmacology, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt; M.Sc, Cardiovascular Medicine, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt.

MD/Lecturer, Department of Medical Pharmacology, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt; Professional Diploma of Family Medicine, Arab Institute for Continuing Professional Development, Arab Medical Union, Egypt.

出版信息

Pulm Pharmacol Ther. 2021 Dec;71:102082. doi: 10.1016/j.pupt.2021.102082. Epub 2021 Oct 1.

Abstract

COVID-19 pandemic has changed the world dramatically since was first reported in Wuhan city, China [1]. Not only as a respiratory illness that could lead to fatal respiratory failure, but also some evidences suggest that it can propagate as a chronic disease associated with a variety of persistent post COVID-19 pathologies that affect patients' life [2,3]. Pulmonary hypertension (PH) is one of the challenging diseases that may develop as a consequence of SARS-COV-2 infection in some COVID-19 survivors [4,5]. The vasopressor, proliferative, proinflammatory, and prothrombotic actions of endothelin [6] may be encountered in the COVID-19-induced PH pathology. And so, endothelin blockers may have an important role to restrict the development of serious PH outcomes with special precautions considering patients with significant hypoxemia.

摘要

自 2019 年在中国武汉市首次报告以来,COVID-19 大流行已经极大地改变了世界[1]。它不仅是一种可导致致命性呼吸衰竭的呼吸系统疾病,而且还有一些证据表明,它可能会像一种与多种持续性 COVID-19 后病理学相关的慢性疾病一样传播,从而影响患者的生活[2,3]。肺动脉高压(PH)是一种具有挑战性的疾病,一些 COVID-19 幸存者可能会因 SARS-COV-2 感染而发生这种疾病[4,5]。内皮素[6]的升压、增殖、促炎和促血栓形成作用可能会在 COVID-19 引起的 PH 病理中出现。因此,内皮素阻滞剂可能在限制严重 PH 结局的发展方面发挥重要作用,对于有严重低氧血症的患者,应特别注意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c89d/8483983/0c710adaa8d8/gr1_lrg.jpg

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