Effects of COVID-19 on Arrhythmia

被引:14
作者
Zhan, Yujia [1 ]
Yue, Honghua [1 ]
Liang, Weitao [1 ]
Wu, Zhong [1 ]
机构
[1] Sichuan Univ, West China Hosp, Dept Cardiovasc Surg, Chengdu 610017, Peoples R China
基金
中国国家自然科学基金;
关键词
COVID-19; SARS-CoV-2; arrhythmia; cardiovascular disease; coronavirus; DISEASE; 2019; COVID-19; ATRIAL-FIBRILLATION; MYOCARDIAL INJURY; CORONAVIRUS; SARS-COV-2; COMPLICATIONS; INFLAMMATION; INFECTION; DRUGS; WUHAN;
D O I
10.3390/jcdd9090292
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The World Health Organization announced that COVID-19, with SARS-CoV-2 as its pathogen, had become a pandemic on 11 March 2020. Today, the global epidemic situation is still serious. With the development of research, cardiovascular injury in patients with COVID-19, such as arrhythmia, myocardial injury, and heart failure, is the second major symptom in addition to respiratory symptoms, and cardiovascular injury is related to the prognosis and mortality of patients. The incidence of arrhythmia in COVID-19 patients ranges from 10% to 20%. The potential mechanisms include viral infection-induced angiotensin-converting enzyme 2 expression change, myocarditis, cytokine storm, cardiac injury, electrophysiological effects, hypoxemia, myocardial strain, electrolyte abnormalities, intravascular volume imbalance, drug toxicities and interactions, and stress response caused by virus infection. COVID-19 complicated with arrhythmia needs to be accounted for and integrated in management. This article reviews the incidence, potential mechanisms, and related management measures of arrhythmia in COVID-19 patients.
引用
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页数:22
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