Hamidian Maliheh, Ansari Ramin, Zarshenas Mohammad Mehdi, Foroughinia Farzaneh
Department of Clinical Pharmacy, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
J Res Med Sci. 2022 Dec 23;27:92. doi: 10.4103/jrms.jrms_895_21. eCollection 2022.
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, has rapidly spread worldwide and has been infected more than 219 million individuals with 4.55 million deaths worldwide as of September 2021, causing a pandemic. Preexisting cardiovascular (CV) comorbidities such as hypertension, diabetes, and coronary artery disease seem to be associated with greater severity of infection, worse prognosis, and higher mortality. Moreover, COVID-19 can contribute to CV complications, including acute myocardial injury, arrhythmia, acute coronary syndrome, and venous thromboembolism, emphasizing the importance of precocious detection and implementation of optimal therapeutic strategies. This review provides an overview of evidence-based data of CV complications of COVID-19, focusing on their management strategies, as well as potential cardiac adverse effects and drug interactions, due to off-label and investigational drugs used for the treatment of COVID-19.
2019冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒2引起,已在全球迅速传播,截至2021年9月,全球感染人数已超过2.19亿,死亡人数达455万,引发了一场大流行。高血压、糖尿病和冠状动脉疾病等先前存在的心血管合并症似乎与感染的严重程度更高、预后更差和死亡率更高有关。此外,COVID-19可导致心血管并发症,包括急性心肌损伤、心律失常、急性冠状动脉综合征和静脉血栓栓塞,这凸显了早期检测和实施最佳治疗策略的重要性。本综述概述了COVID-19心血管并发症的循证数据,重点关注其管理策略,以及由于用于治疗COVID-19的标签外药物和研究性药物而可能产生的心脏不良反应和药物相互作用。