Cardiology Department, Rouen University Hospital, Rouen 76000, France; Division of Cardiovascular Medicine, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
Department of Cardiovascular Medicine, Nouvel Hôpital Civil, Strasbourg University Hospital, Strasbourg 67000, France.
Respir Med Res. 2022 May;81:100904. doi: 10.1016/j.resmer.2022.100904. Epub 2022 May 4.
The coronavirus disease 2019 (COVID-19) pandemic has spread rapidly, becoming a major threat to global health. In addition to having required the adaptation of healthcare workers for almost 2 years, it has been much talked about, both in the media and among the scientific community. Beyond lung damage and respiratory symptoms, the involvement of the cardiovascular system largely explains COVID-19 morbimortality. In this review, we emphasize that cardiovascular involvement is common and is associated with a worse prognosis, and that earlier detection by physicians should lead to better management. First, direct cardiac involvement will be discussed, in the form of COVID-19 myocarditis, then secondary cardiac involvement, such as myocardial injury, myocardial infarction and arrhythmias, will be considered. Finally, worsening of previous cardiovascular disease as a result of COVID-19 will be examined, as well as long-term COVID-19 effects and cardiovascular complications of COVID-19 vaccines.
新型冠状病毒病 2019(COVID-19)大流行迅速蔓延,成为全球健康的主要威胁。除了要求医护人员适应近 2 年之外,它在媒体和科学界都备受关注。除了肺部损伤和呼吸道症状外,心血管系统的受累在很大程度上解释了 COVID-19 的发病率和死亡率。在这篇综述中,我们强调心血管受累很常见,并与预后更差相关,医生的早期检测应导致更好的管理。首先,将讨论以 COVID-19 心肌炎形式出现的直接心脏受累,然后将考虑继发性心脏受累,如心肌损伤、心肌梗死和心律失常。最后,将检查 COVID-19 导致先前心血管疾病的恶化,以及 COVID-19 的长期影响和 COVID-19 疫苗的心血管并发症。