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
相关论文
共 71 条
[61]   ST-Elevation Myocardial Infarction in Patients With COVID-19 Clinical and Angiographic Outcomes [J].
Stefanini, Giulio G. ;
Montorfano, Matteo ;
Trabattoni, Daniela ;
Andreini, Daniele ;
Ferrante, Giuseppe ;
Ancona, Marco ;
Metra, Marco ;
Curello, Salvatore ;
Maffeo, Diego ;
Pero, Gaetano ;
Cacucci, Michele ;
Assanelli, Emilio ;
Bellini, Barbara ;
Russo, Filippo ;
Ielasi, Alfonso ;
Tespili, Maurizio ;
Danzi, Gian Battista ;
Vandoni, Pietro ;
Bollati, Mario ;
Barbieri, Lucia ;
Oreglia, Jacopo ;
Lettieri, Corrado ;
Cremonesi, Alberto ;
Carugo, Stefano ;
Reimers, Bernhard ;
Condorelli, Gianluigi ;
Chieffo, Alaide .
CIRCULATION, 2020, 141 (25) :2113-2116
[62]   Prevention of thrombotic risk in hospitalized patients with COVID-19 and hemostasis monitoring [J].
Susen, Sophie ;
Tacquard, Charles Ambroise ;
Godon, Alexandre ;
Mansour, Alexandre ;
Garrigue, Delphine ;
Nguyen, Philippe ;
Godier, Anne ;
Testa, Sophie ;
Levy, Jerrold H. ;
Albaladejo, Pierre ;
Gruel, Yves .
CRITICAL CARE, 2020, 24 (01)
[63]   Impact of coronavirus disease 2019 (COVID-19) outbreak on outcome of myocardial infarction in Hong Kong, China [J].
Tam, Chor-Cheung Frankie ;
Cheung, Kent-Shek ;
Lam, Simon ;
Wong, Anthony ;
Yung, Arthur ;
Sze, Michael ;
Fang, Jonathan ;
Tse, Hung-Fat ;
Siu, Chung-Wah .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2021, 97 (02) :E194-E197
[64]  
Tang N, 2020, J THROMB HAEMOST, V18, P844, DOI [10.1111/jth.14768, 10.1111/jth.14820]
[65]   Myocardial localization of coronavirus in COVID-19 cardiogenic shock [J].
Tavazzi, Guido ;
Pellegrini, Carlo ;
Maurelli, Marco ;
Belliato, Mirko ;
Sciutti, Fabio ;
Bottazzi, Andrea ;
Sepe, Paola Alessandra ;
Resasco, Tullia ;
Camporotondo, Rita ;
Bruno, Raffaele ;
Baldanti, Fausto ;
Paolucci, Stefania ;
Pelenghi, Stefano ;
Iotti, Giorgio Antonio ;
Mojoli, Francesco ;
Arbustini, Eloisa .
EUROPEAN JOURNAL OF HEART FAILURE, 2020, 22 (05) :911-915
[66]   Cardiac arrhythmias in patients with COVID-19 [J].
Wang, Yueying ;
Wang, Zhaojia ;
Tse, Gary ;
Zhang, Lin ;
Wan, Elaine Y. ;
Guo, Yutao ;
Lip, Gregory Y. H. ;
Li, Guangping ;
Lu, Zhibing ;
Liu, Tong .
JOURNAL OF ARRHYTHMIA, 2020, 36 (05) :827-836
[67]   Autopsy Findings and Venous Thromboembolism in Patients With COVID-19 [J].
Wichmann, Dominic ;
Sperhake, Jan-Peter ;
Luegehetmann, Marc ;
Steurer, Stefan ;
Edler, Carolin ;
Heinemann, Axel ;
Heinrich, Fabian ;
Mushumba, Herbert ;
Kniep, Inga ;
Schroeder, Ann Sophie ;
Burdelski, Christoph ;
de Heer, Geraldine ;
Nierhaus, Axel ;
Frings, Daniel ;
Pfefferle, Susanne ;
Becker, Heinrich ;
Bredereke-Wiedling, Hanns ;
de Weerth, Andreas ;
Paschen, Hans-Richard ;
Sheikhzadeh-Eggers, Sara ;
Stang, Axel ;
Schmiedel, Stefan ;
Bokemeyer, Carsten ;
Addo, Marylyn M. ;
Aepfelbacher, Martin ;
Pueschel, Klaus ;
Kluge, Stefan .
ANNALS OF INTERNAL MEDICINE, 2020, 173 (04) :268-+
[68]  
World Health Organisation [WHO], 2020, WHO Timeline-COVID-19
[69]   Risk Factors for Severe Disease and Efficacy of Treatment in Patients Infected With COVID-19: A Systematic Review, Meta-Analysis, and Meta-Regression Analysis [J].
Zhang, John J. Y. ;
Lee, Keng Siang ;
Ang, Li Wei ;
Leo, Yee Sin ;
Young, Barnaby Edward .
CLINICAL INFECTIOUS DISEASES, 2020, 71 (16) :2199-2206
[70]   Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study [J].
Zhou, Fei ;
Yu, Ting ;
Du, Ronghui ;
Fan, Guohui ;
Liu, Ying ;
Liu, Zhibo ;
Xiang, Jie ;
Wang, Yeming ;
Song, Bin ;
Gu, Xiaoying ;
Guan, Lulu ;
Wei, Yuan ;
Li, Hui ;
Wu, Xudong ;
Xu, Jiuyang ;
Tu, Shengjin ;
Zhang, Yi ;
Chen, Hua ;
Cao, Bin .
LANCET, 2020, 395 (10229) :1054-1062