Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA.
Med Sci Monit. 2022 May 1;28:e937048. doi: 10.12659/MSM.937048.
The consequences of SARS-CoV-2 infection include short-term, long-term, mild, and severe clinical symptoms. The cardiovascular system, including endothelial cells, vascular smooth muscle cells, and cardiac myocytes, are important targets for SARS-CoV-2. In February 2022, the findings from a large US cohort of individuals diagnosed with COVID-19 and two sets of control cohorts evaluated the risk and 12-month cardiovascular disease burden. Individuals who had COVID-19 had a 72% increased risk of heart failure, a 63% increased risk of myocardial infarction, and a 52% increased risk of ischemic stroke compared with controls. These results were independent of gender, race, age, and other cardiovascular risk factors, including diabetes, obesity, hypertension, hyperlipidemia, and chronic kidney disease. As of 25 April 2022, the World Health Organization (WHO) reported that more than 80 million people in the US, more than 22 million people in the UK, and more than 505 million people worldwide were infected with SARS-CoV-2. This Editorial aims to present what is currently known about the cardiovascular outcomes at one year following SARS-CoV-2 infection and highlights that primary care physicians should be mindful of the COVID-19 infection status of their patients when evaluating cardiovascular health.
SARS-CoV-2 感染的后果包括短期、长期、轻度和重度临床症状。心血管系统,包括内皮细胞、血管平滑肌细胞和心肌细胞,是 SARS-CoV-2 的重要靶标。2022 年 2 月,一项针对美国大量确诊 COVID-19 个体和两组对照组的研究结果评估了风险和 12 个月的心血管疾病负担。与对照组相比,患有 COVID-19 的个体心力衰竭风险增加 72%,心肌梗死风险增加 63%,缺血性中风风险增加 52%。这些结果独立于性别、种族、年龄和其他心血管危险因素,包括糖尿病、肥胖、高血压、高血脂和慢性肾脏病。截至 2022 年 4 月 25 日,世界卫生组织(WHO)报告称,美国有超过 8000 万人、英国有超过 2200 万人、全球有超过 5.05 亿人感染了 SARS-CoV-2。本社论旨在介绍目前已知的 SARS-CoV-2 感染后一年的心血管结局,并强调初级保健医生在评估心血管健康时应注意患者的 COVID-19 感染状况。