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新冠疫情对非传染性疾病的影响:我们所不知道的可能会伤害我们。

COVID's Impact on Non-communicable Diseases: What We Do Not Know May Hurt Us.

机构信息

Department of Medicine, Division of Cardiology, Cardiac and Vascular Center, University of Colorado Anschutz, 12605 E 16th Ave, Aurora, CO, 80045, USA.

Cardiology Division, Rocky Mountain Regional VA Medical Center, Aurora, USA.

出版信息

Curr Cardiol Rep. 2022 Jul;24(7):829-837. doi: 10.1007/s11886-022-01704-6. Epub 2022 May 7.

Abstract

PURPOSE OF REVIEW

In this review, we outline the impacts of the COVID-19 pandemic on non-communicable diseases around the world.

RECENT FINDINGS

The mechanisms of COVID-19's impact on non-communicable diseases are both direct and indirect. The direct mechanisms include direct vascular and myocardial injury as well as pancreatic injury increasing incidence of new-onset diabetes. Indirect effects of the pandemic on non-communicable disease include delayed presentation for acute illness including STEMI and the impact of social distancing and quarantine policies on socialization, mental health, physical activity, and the downstream health impacts of inactivity and deconditioning. International focus has been on disease variants, infection control and management, healthcare system, and resource utilization and infection incidence. However, the impact of this pandemic on non-communicable diseases has been largely overlooked but will manifest itself in the coming years to decades.

摘要

目的综述

在本次综述中,我们概述了 COVID-19 大流行对全球非传染性疾病的影响。

最近的发现

COVID-19 对非传染性疾病的影响既有直接的也有间接的。直接机制包括直接的血管和心肌损伤以及胰腺损伤,导致新发糖尿病的发病率增加。大流行对非传染性疾病的间接影响包括急性疾病(包括 ST 段抬高型心肌梗死)的就诊延迟,以及社交距离和隔离政策对社交、心理健康、身体活动的影响,以及不活动和失健的下游健康影响。国际关注的焦点是疾病变体、感染控制和管理、医疗保健系统以及资源利用和感染发生率。然而,这场大流行对非传染性疾病的影响在很大程度上被忽视了,但它将在未来几年到几十年显现出来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36f3/9077645/878f9aa36c21/11886_2022_1704_Fig1_HTML.jpg

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