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新冠病毒感染后心血管后遗症和心肌炎。

Post-COVID-19 Cardiovascular Sequelae and Myocarditis.

机构信息

Intern Doctor, GSL Medical College and General Hospital, Rajahmundry, Andhra Pradesh.

Director of Ayurveda, Department of Health & Family Welfare, Government of West Bengal.

出版信息

J Assoc Physicians India. 2023 Jun;71(6):11-12. doi: 10.5005/japi-11001-0256.

Abstract

BACKGROUND AND AIM

Post coronavirus disease 2019 (COVID-19) cardiovascular (CV) pathological changes, myocarditis, and myocardial infarctions (MIs) are major public health issues. This review discusses acute and chronic COVID-19 cardiac manifestations.

METHODS

The devastating impact of COVID-19 on global healthcare and economies has likely been one of humanity's deadliest calamities in recent decades, as multiple literature and databases were searched from 2020 to 2022.

RESULTS

As of April 2022, we identified 73 articles in various electronic databases that discussed the details of COVID-19 and cardiac manifestations. Cardiometabolic risk factors should now, more than ever, be a top priority for clinicians, as their potent role in exacerbating COVID-19 illness severity has been conclusively demonstrated.

CONCLUSION

This review discusses cardiac pathology changes, CV consequences of acute COVID-19, microvascular injury and cardiac complications linked with SARS-CoV2, COVID-19 linked with chronic CV disease, therapeutic drug effects on heart used in COVID-19, and possible investigational approaches and management strategies for post-COVID-19 CV consequences. Highlights Cardiac pathology changes: Effect of COVID-19. Mechanism of development of CV consequences in acute COVID-19: Including autopsy studies. Microvascular injury and cardiac complications: Linked with SARS-CoV2. COVID-19 linked with chronic CV disease. Therapeutic drug effects on heart used in COVID-19. Possible investigational approaches and management strategies for post-COVID-19 CV consequences.

摘要

背景与目的

新冠病毒病 2019 年后(COVID-19)心血管(CV)病理变化、心肌炎和心肌梗死(MI)是主要的公共卫生问题。这篇综述讨论了急性和慢性 COVID-19 心脏表现。

方法

COVID-19 对全球医疗保健和经济的破坏性影响可能是人类近几十年来遭遇的最致命灾难之一,因此从 2020 年到 2022 年,我们从多个文献和数据库中进行了搜索。

结果

截至 2022 年 4 月,我们在各种电子数据库中确定了 73 篇文章,讨论了 COVID-19 和心脏表现的细节。现在,心血管代谢危险因素应该成为临床医生的首要任务,因为它们在加剧 COVID-19 疾病严重程度方面的作用已经得到了明确的证明。

结论

这篇综述讨论了心脏病理学变化、急性 COVID-19 的 CV 后果、与 SARS-CoV2 相关的微血管损伤和心脏并发症、COVID-19 与慢性 CV 疾病的关系、COVID-19 中用于心脏的治疗药物效应以及 COVID-19 后 CV 后果的可能研究方法和管理策略。重点:心脏病理学变化:COVID-19 的影响。急性 COVID-19 中 CV 后果的发展机制:包括尸检研究。微血管损伤和心脏并发症:与 SARS-CoV2 相关。COVID-19 与慢性 CV 疾病的关系。COVID-19 中用于心脏的治疗药物效应。COVID-19 后 CV 后果的可能研究方法和管理策略。

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