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新冠病毒肺炎中的心血管合并症:关键主题综合分析

Cardiovascular Comorbidities in COVID-19: Comprehensive Analysis of Key Topics.

作者信息

Markovič Rene, Ternar Luka, Trstenjak Tim, Marhl Marko, Grubelnik Vladimir

机构信息

Faculty of Natural Sciences and Mathematics, University of Maribor, Maribor, Slovenia.

Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia.

出版信息

Interact J Med Res. 2024 Jul 24;13:e55699. doi: 10.2196/55699.

Abstract

BACKGROUND

The interrelation between COVID-19 and various cardiovascular and metabolic disorders has been a critical area of study. There is a growing need to understand how comorbidities such as cardiovascular diseases (CVDs) and metabolic disorders affect the risk and severity of COVID-19.

OBJECTIVE

The objective of this study is to systematically analyze the association between COVID-19 and cardiovascular and metabolic disorders. The focus is on comorbidity, examining the roles of CVDs such as embolism, thrombosis, hypertension, and heart failure, as well as metabolic disorders such as disorders of glucose and iron metabolism.

METHODS

Our study involved a systematic search in PubMed for literature published from 2000 to 2022. We established 2 databases: one for COVID-19-related articles and another for CVD-related articles, ensuring all were peer-reviewed. In terms of data analysis, statistical methods were applied to compare the frequency and relevance of MeSH (Medical Subject Headings) terms between the 2 databases. This involved analyzing the differences and ratios in the usage of these terms and employing statistical tests to determine their significance in relation to key CVDs within the COVID-19 research context.

RESULTS

The study revealed that "Cardiovascular Diseases" and "Nutritional and Metabolic Diseases" were highly relevant as level 1 Medical Subject Headings descriptors in COVID-19 comorbidity research. Detailed analysis at level 2 and level 3 showed "Vascular Disease" and "Heart Disease" as prominent descriptors under CVDs. Significantly, "Glucose Metabolism Disorders" were frequently associated with COVID-19 comorbidities such as embolism, thrombosis, and heart failure. Furthermore, iron deficiency (ID) was notably different in its occurrence between COVID-19 and CVD articles, underlining its significance in the context of COVID-19 comorbidities. Statistical analysis underscored these differences, highlighting the importance of both glucose and iron metabolism disorders in COVID-19 research.

CONCLUSIONS

This work lays the foundation for future research that utilizes a knowledge-based approach to elucidate the intricate relationships between these conditions, aiming to develop more effective health care strategies and interventions in the face of ongoing pandemic challenges.

摘要

背景

新型冠状病毒肺炎(COVID-19)与各种心血管和代谢紊乱之间的相互关系一直是一个关键的研究领域。越来越需要了解心血管疾病(CVDs)和代谢紊乱等合并症如何影响COVID-19的风险和严重程度。

目的

本研究的目的是系统分析COVID-19与心血管和代谢紊乱之间的关联。重点是合并症,研究诸如栓塞、血栓形成、高血压和心力衰竭等心血管疾病以及葡萄糖和铁代谢紊乱等代谢紊乱所起的作用。

方法

我们的研究涉及在PubMed中系统搜索2000年至2022年发表的文献。我们建立了两个数据库:一个用于与COVID-19相关的文章,另一个用于与CVD相关的文章,确保所有文章均经过同行评审。在数据分析方面,应用统计方法比较两个数据库之间医学主题词(MeSH)术语的频率和相关性。这包括分析这些术语使用上的差异和比率,并采用统计检验来确定它们在COVID-19研究背景下与关键心血管疾病相关的显著性。

结果

研究表明,“心血管疾病”和“营养与代谢疾病”作为COVID-19合并症研究中的一级医学主题词描述符具有高度相关性。在二级和三级水平的详细分析显示,“血管疾病”和“心脏病”是心血管疾病下突出的描述符。值得注意的是,“葡萄糖代谢紊乱”经常与COVID-19合并症如栓塞、血栓形成和心力衰竭相关。此外,缺铁(ID)在COVID-19和心血管疾病文章中的发生率明显不同,突显了其在COVID-19合并症背景下的重要性。统计分析强调了这些差异,突出了葡萄糖和铁代谢紊乱在COVID-19研究中的重要性。

结论

这项工作为未来的研究奠定了基础,这些研究将采用基于知识的方法来阐明这些病症之间的复杂关系,旨在面对持续的大流行挑战制定更有效的医疗保健策略和干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2873/11306943/e7ea415e1059/ijmr_v13i1e55699_fig1.jpg

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