Cardiovascular Complications of COVID-19 Infection

被引:1
作者
Trepa, Maria [1 ,2 ,3 ]
Reis, Antonio Hipolito [1 ,4 ]
Oliveira, Mario [5 ,6 ,7 ,8 ]
机构
[1] Ctr Hosp Univ Porto, Serv Cardiol, Porto, Portugal
[2] Ctr Hosp Univ Porto, Serv Cuidados Intens, Porto, Portugal
[3] Univ Porto, Inst Ciencias Biomed Abel Salazar, Unidade Multidisciplinar Invest Biomed, Cardiovasc Res Grp, Porto, Portugal
[4] Univ Porto, Inst Ciencias Biomed Abel Salazar, Dept Med, Porto, Portugal
[5] Ctr Hosp Univ Lisboa Cent, Serv Cardiol, Lisbon, Portugal
[6] Hosp CUF Tejo, Ctr Coracao & Vasos, Lisbon, Portugal
[7] Univ Lisbon, Fac Med, Inst Fisiol, Lisbon, Portugal
[8] Univ Lisbon, Fac Med, Ctr Cardiovasc, Lisbon, Portugal
关键词
Arrhythmia; COVID-19; Heart Failure; Myocardial Infarction; Pulmonary Embolism; SARS-CoV-2; RECEPTOR BLOCKERS; MYOCARDITIS; INHIBITORS; DIAGNOSIS; DISEASES; COHORT; IMPACT;
D O I
10.20344/amp.15584
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Reports of cardiovascular complications related to the COVID-19 infection have been frequent. Methods: Narrative review for relevant articles on the topic. The classic cardiovascular risk factors, like age, obesity, diabetes, and hypertension are associated with adverse outcomes in COVID-19 patients. Cardiovascular complications can have a diverse clinical presentation including silent myocardial injury, acute coronary syndromes, thromboembolism, cardiac arrhythmias, and heart failure. There are multiple mechanisms of cardiac injury that are not mutually exclusive. The approach to diagnosis and management should be carried out according to usual practice, while considering the particularities of COVID-19 infection. Conclusion: The interaction between SARS-CoV-2 and the heart is complex and is manifested in multiple ways. Regardless of the clinical presentation, cardiac complications convey a worse prognosis. Patients should be actively monitored and treated accordingly.
引用
收藏
页码:608 / 614
页数:7
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