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新冠后综合征:呼吸、心血管和神经系统之间的关联与相互作用

Post-COVID-19 Syndrome: Involvement and Interactions between Respiratory, Cardiovascular and Nervous Systems.

作者信息

Visco Valeria, Vitale Carolina, Rispoli Antonella, Izzo Carmine, Virtuoso Nicola, Ferruzzi Germano Junior, Santopietro Mario, Melfi Americo, Rusciano Maria Rosaria, Maglio Angelantonio, Di Pietro Paola, Carrizzo Albino, Galasso Gennaro, Vatrella Alessandro, Vecchione Carmine, Ciccarelli Michele

机构信息

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy.

Cardiology Unit, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84081 Salerno, Italy.

出版信息

J Clin Med. 2022 Jan 20;11(3):524. doi: 10.3390/jcm11030524.

Abstract

Though the acute effects of SARS-CoV-2 infection have been extensively reported, the long-term effects are less well described. Specifically, while clinicians endure to battle COVID-19, we also need to develop broad strategies to manage post-COVID-19 symptoms and encourage those affected to seek suitable care. This review addresses the possible involvement of the lung, heart and brain in post-viral syndromes and describes suggested management of post-COVID-19 syndrome. Post-COVID-19 respiratory manifestations comprise coughing and shortness of breath. Furthermore, arrhythmias, palpitations, hypotension, increased heart rate, venous thromboembolic diseases, myocarditis and acute heart failure are usual cardiovascular events. Among neurological manifestations, headache, peripheral neuropathy symptoms, memory issues, lack of concentration and sleep disorders are most commonly observed with varying frequencies. Finally, mental health issues affecting mental abilities and mood fluctuations, namely anxiety and depression, are frequently seen. Finally, long COVID is a complex syndrome with protracted heterogeneous symptoms, and patients who experience post-COVID-19 sequelae require personalized treatment as well as ongoing support.

摘要

尽管新冠病毒感染的急性影响已被广泛报道,但其长期影响的描述却较少。具体而言,当临床医生们持续与新冠肺炎作斗争时,我们还需要制定广泛的策略来管理新冠后症状,并鼓励受影响者寻求适当的护理。本综述探讨了肺部、心脏和大脑在病毒后综合征中可能的影响,并描述了对新冠后综合征的建议管理方法。新冠后呼吸系统表现包括咳嗽和呼吸急促。此外,心律失常、心悸、低血压、心率加快、静脉血栓栓塞性疾病、心肌炎和急性心力衰竭是常见的心血管事件。在神经学表现中,最常观察到的是头痛、周围神经病变症状、记忆问题、注意力不集中和睡眠障碍,其出现频率各不相同。最后,影响心理能力和情绪波动的心理健康问题,即焦虑和抑郁,也很常见。最后,长期新冠是一种具有迁延性异质性症状的复杂综合征,经历新冠后后遗症的患者需要个性化治疗以及持续的支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6597/8836767/116ea8d0b43f/jcm-11-00524-g001.jpg

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