Institute of Sport Medicine and Science of Rome, Italian National Olympic Committee, CONI, 00197 Rome, Italy.
Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Viruses. 2023 Feb 10;15(2):493. doi: 10.3390/v15020493.
Cardiovascular (CV) involvement after severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) infection was found to be frequent among the general population, especially in the pre-vaccination era, and particularly for hospitalized patients or those who experienced a more severe course of the disease. The spectrum of CV disease varies; however, acute myocarditis is particularly fearsome for the athletic population due to the possible associated risk of malignant arrhythmias during training. Alarming percentages of CV injuries, even in young and healthy athletes with a benign course of the disease, arose from a few initial studies limited to case series. Subsequent single-center studies and larger observational registries reported a lower prevalence of SARS-CoV2 CV involvement in athletes. Studies showing the occurrence of CV adverse events during follow-up periods are now available. The objective of our narrative review is to provide an updated summary of the literature on CV involvement after coronavirus disease 2019, both in the early post-infection period and over a longer period of time, with a focus on athletic populations.
心血管(CV)在严重急性呼吸综合征冠状病毒 2(SARS-CoV2)感染后在普通人群中被发现频繁受累,特别是在疫苗接种前时代,尤其是在住院患者或经历更严重疾病过程的患者中。CV 疾病的谱多种多样;然而,急性心肌炎对于运动人群来说特别可怕,因为在训练过程中可能会出现恶性心律失常的相关风险。一些最初的研究仅限于病例系列,令人震惊的 CV 损伤百分比,即使是在疾病良性过程中的年轻和健康运动员中,也出现了。随后的单中心研究和更大的观察性登记报告显示,运动员的 SARS-CoV2 CV 受累患病率较低。现在有研究显示 CV 不良事件在随访期间的发生情况。我们的叙述性综述的目的是提供关于 2019 年冠状病毒病后 CV 受累的文献的最新总结,包括感染后的早期和较长时间,重点是运动人群。