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关于 COVID-19 心血管并发症的综合综述:揭示与细菌性心内膜炎的联系

A Comprehensive Review on Cardiovascular Complications of COVID-19: Unraveling the Link to Bacterial Endocarditis.

作者信息

Bele Anurag, Wagh Vasant, Munjewar Pratiksha K

机构信息

Internal Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2023 Aug 24;15(8):e44019. doi: 10.7759/cureus.44019. eCollection 2023 Aug.

Abstract

The global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has ushered in a new era of understanding the multifaceted nature of infectious diseases. Beyond its well-documented respiratory impact, COVID-19 has unveiled intricate interactions with the cardiovascular system, with potential implications that extend to bacterial endocarditis. This review explores the complex interplay between COVID-19 and bacterial endocarditis, elucidating shared risk factors, theoretical mechanisms, and clinical implications. We examine the diverse cardiovascular manifestations of COVID-19, ranging from myocarditis and thromboembolic events to arrhythmias, and delve into the pathogenesis, clinical features, and diagnostic challenges of bacterial endocarditis. By analyzing potential connections, such as viral-induced endothelial disruption and immune modulation, we shed light on the plausible relationship between COVID-19 and bacterial endocarditis. Our synthesis highlights the significance of accurate diagnosis, optimal management, and interdisciplinary collaboration in addressing the challenges posed by these intricate interactions. In addition, we underscore the importance of future research, emphasizing prospective studies on bacterial endocarditis incidence and investigations into the long-term cardiovascular effects of COVID-19. As the boundaries of infectious diseases and cardiovascular complications converge, this review calls for continued research, vigilance, and coordinated efforts to enhance patient care and public health strategies in a rapidly evolving landscape.

摘要

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的全球大流行开启了一个理解传染病多面性的新时代。除了其有充分记录的呼吸道影响外,新冠病毒病(COVID-19)还揭示了与心血管系统的复杂相互作用,其潜在影响延伸至细菌性心内膜炎。本综述探讨了COVID-19与细菌性心内膜炎之间的复杂相互作用,阐明了共同的风险因素、理论机制和临床意义。我们研究了COVID-19的各种心血管表现,从心肌炎和血栓栓塞事件到心律失常,并深入探讨了细菌性心内膜炎的发病机制、临床特征和诊断挑战。通过分析潜在联系,如病毒诱导的内皮破坏和免疫调节,我们揭示了COVID-19与细菌性心内膜炎之间可能的关系。我们的综合分析强调了准确诊断、优化管理和跨学科合作在应对这些复杂相互作用所带来挑战方面的重要性。此外,我们强调了未来研究的重要性,强调对细菌性心内膜炎发病率的前瞻性研究以及对COVID-19长期心血管影响的调查。随着传染病和心血管并发症的界限趋于一致,本综述呼吁继续开展研究、保持警惕并做出协调努力,以在快速变化的形势下加强患者护理和公共卫生策略。

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