Gupta Anamika, Marzook Hezlin, Ahmad Firdos
Cardiovascular Research Group, Sharjah Institute for Medical Research, University of Sharjah, Sharjah, 27272, UAE.
Department of Basic Medical Sciences, College of Medicine, University of Sharjah, Sharjah, 27272, UAE.
Clin Exp Med. 2023 Jun;23(2):313-331. doi: 10.1007/s10238-022-00821-4. Epub 2022 Apr 1.
The novel severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) causes major challenges to the healthcare system. SARS-CoV-2 infection leads to millions of deaths worldwide and the mortality rate is found to be greatly associated with pre-existing clinical conditions. The existing dataset strongly suggests that cardiometabolic diseases including hypertension, coronary artery disease, diabetes and obesity serve as strong comorbidities in coronavirus disease (COVID-19). Studies have also shown the poor outcome of COVID-19 in patients associated with angiotensin-converting enzyme-2 polymorphism, cancer chemotherapy, chronic kidney disease, thyroid disorder, or coagulation dysfunction. A severe complication of COVID-19 is mostly seen in people with compromised medical history. SARS-CoV-2 appears to attack the respiratory system causing pneumonia, acute respiratory distress syndrome, which lead to induction of severe systemic inflammation, multi-organ dysfunction, and death mostly in the patients who are associated with pre-existing comorbidity factors. In this article, we highlighted the key comorbidities and a variety of clinical complications associated with COVID-19 for a better understanding of the etiopathogenesis of COVID-19.
新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)给医疗系统带来了重大挑战。SARS-CoV-2感染导致全球数百万人死亡,且死亡率被发现与既往临床病症密切相关。现有数据集有力地表明,包括高血压、冠状动脉疾病、糖尿病和肥胖症在内的心脏代谢疾病是冠状病毒病(COVID-19)的强烈合并症。研究还表明,与血管紧张素转换酶2多态性、癌症化疗、慢性肾病、甲状腺疾病或凝血功能障碍相关的COVID-19患者预后较差。COVID-19的严重并发症多见于有病史不良的人群。SARS-CoV-2似乎攻击呼吸系统,导致肺炎、急性呼吸窘迫综合征,进而引发严重的全身炎症、多器官功能障碍,且死亡大多发生在伴有既往合并症因素的患者中。在本文中,我们重点介绍了与COVID-19相关的关键合并症和各种临床并发症,以便更好地理解COVID-19的病因发病机制。