Long-Term Cardiovascular Effects of COVID-19: Emerging Data Relevant to the Cardiovascular Clinician.

Long-Term Cardiovascular Effects of COVID-19: Emerging Data Relevant to the Cardiovascular Clinician.
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COVID-19的长期心血管影响:与心血管临床医生相关的新数据。

DOI:
10.1007/s11883-022-01032-8
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发表时间:
2022-07
影响因子:
5.8
通讯作者:
Slade, Justin J.
Slade, Justin J.
中科院分区:
医学2区
文献类型:
--
作者:
Tobler, Diana L.;Pruzansky, Alix J.;Naderi, Sahar;Ambrosy, Andrew P.;Slade, Justin J.

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新冠肺炎现在是一种全球大流行,这种疾病影响到多个器官系统,包括心血管系统。新冠肺炎的长期心血管后果还没有完全描述出来。本综述旨在巩固有关新冠肺炎感染的长期心血管并发症的现有数据。新冠肺炎感染的急性心血管并发症包括心肌炎、心包炎、急性冠脉综合征、心力衰竭、肺动脉高压、右心功能不全和心律失常。长期随访显示心律失常、心力衰竭、急性冠脉综合征、右心功能不全、心肌纤维化、高血压和糖尿病的发生率增加。新冠肺炎患者出院后死亡率增加,初始心肌损伤与死亡率增加相关。新兴数据显示,康复的新冠肺炎患者心血管疾病发病率增加,结构发生变化。未来的研究对于理解这些结构异常的临床意义,以及确定疫苗在预防长期心血管并发症方面的效果将是重要的。
COVID-19 is now a global pandemic and the illness affects multiple organ systems, including the cardiovascular system. Long-term cardiovascular consequences of COVID-19 are not yet fully characterized. This review seeks to consolidate available data on long-term cardiovascular complications of COVID-19 infection. Acute cardiovascular complications of COVID-19 infection include myocarditis, pericarditis, acute coronary syndrome, heart failure, pulmonary hypertension, right ventricular dysfunction, and arrhythmia. Long-term follow-up shows increased incidence of arrhythmia, heart failure, acute coronary syndrome, right ventricular dysfunction, myocardial fibrosis, hypertension, and diabetes mellitus. There is increased mortality in COVID-19 patients after hospital discharge, and initial myocardial injury is associated with increased mortality. Emerging data demonstrates increased incidence of cardiovascular illness and structural changes in recovered COVID-19 patients. Future research will be important in understanding the clinical significance of these structural abnormalities, and to determine the effect of vaccines on preventing long-term cardiovascular complications.
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