Impact of the COVID-19 Pandemic on Cardiovascular Health in 2020: JACC State-of-the-Art Review.

Impact of the COVID-19 Pandemic on Cardiovascular Health in 2020: JACC State-of-the-Art Review.
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DOI:
10.1016/j.jacc.2022.06.008
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发表时间:
2022-08-09
影响因子:
24
通讯作者:
Mensah, George A.
Mensah, George A.
中科院分区:
医学1区
文献类型:
--
作者:
Roth, Gregory A.;Vaduganathan, Muthiah;Mensah, George A.

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在大流行早期,COVID-19对心血管疾病负担的影响尚不清楚。COVID-19已成为全球死亡的主要原因之一,对心血管疾病患者造成了不成比例的影响。对心血管疾病就诊情况的研究发现,大流行期间心血管疾病就诊人数显著减少。心血管疾病住院死亡率的研究则更加多变。对心血管疾病人口死亡率的研究因国家而异,大多数研究显示死亡率下降,尽管有些研究显示死亡率上升。在生命登记系统中报告心血管疾病死亡人数大幅增加的一些国家,可能发生了将COVID-19错误分类为心血管疾病的情况。综上所述,研究表明,2019冠状病毒病大流行对心血管疾病的异质性影响在2020年对许多国家的心血管疾病死亡率没有大幅增加。需要进行临床和人口科学研究,以检查大流行影响心血管疾病负担的方式。
The impact of COVID-19 on the burden of cardiovascular diseases (CVD) during the early pandemic remains unclear. COVID-19 has become one of the leading causes of global mortality, with a disproportionate impact on persons with CVD. Studies of health facility admissions for CVD found significant decreases during the pandemic. Studies of hospital mortality for CVD were more variable. Studies of population-level CVD mortality differed across countries, with most showing decreases, although some revealed increases in deaths. In some countries where large increases in CVD deaths were reported in vital registration systems, misclassification of COVID-19 as CVD may have occurred. Taken together, studies suggest heterogeneous effects of the COVID-19 pandemic on CVD without large increases in CVD mortality in 2020 for a number of countries. Clinical and population science research is needed to examine the ways in which the pandemic has affected CVD burden.
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