2019冠状病毒病和心血管疾病。

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL Tzu Chi Medical Journal Pub Date : 2023-07-01 DOI:10.4103/tcmj.tcmj_219_22
Jenn-Yeu Song, Jian-You Huang, Yi-Chiung Hsu, Men-Tzung Lo, Chen Lin, Ta-Chung Shen, Min-Tser Liao, Kuo-Cheng Lu
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引用次数: 0

摘要

2019冠状病毒病(COVID-19)大流行背后的病毒-严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)是一种非分节RNA病毒。心血管疾病(cvd)增加了患者的死亡风险。在这篇综述文章中,我们概述了关于冠状病毒病2019 (COVID-19)患者心肌损伤潜在机制的现有证据。全面了解SARS-CoV-2引起的心血管损伤及其潜在机制,对于提供及时有效的治疗,最终降低死亡率至关重要。严重的COVID-19会导致患者出现急性呼吸窘迫综合征和休克。此外,人们对COVID-19心血管表现的认识有所提高,包括心血管受累对预后的不利影响。血管紧张素转换酶2受体可能在SARS-CoV-2感染引起的急性心肌损伤中起作用。2019冠状病毒病心力衰竭患者的病情可能因各种因素和机制而加剧。需氧量增加、心肌炎、应激性心肌病、肺动脉压升高和静脉血栓形成是潜在的健康问题。这些因素共同作用可能导致新冠肺炎相关心源性休克,导致急性收缩期心力衰竭。当肌力支持失效时,体外膜氧合(ECMO)和左心室辅助装置(lvad)是有效循环支持的治疗选择。鉴于SARS-CoV-2具有大流行的潜力,为确保有效监测covid -19相关心血管疾病(CVD),密切监测其未来的宿主适应、病毒进化和传播性至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Coronavirus disease 2019 and cardiovascular disease.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus behind the coronavirus disease 2019 (COVID-19) pandemic, is a type of RNA virus that is nonsegmented. Cardiovascular diseases (CVDs) increase the mortality risk of patients. In this review article, we overview the existing evidence regarding the potential mechanisms of myocardial damage in coronavirus disease 2019 (COVID-19) patients. Having a comprehensive knowledge of the cardiovascular damage caused by SARS-CoV-2 and its underlying mechanisms is essential for providing prompt and efficient treatment, ultimately leading to a reduction in mortality rates. Severe COVID-19 causes acute respiratory distress syndrome and shock in patients. In addition, awareness regarding COVID-19 cardiovascular manifestations has increased, including the adverse impact on prognosis with cardiovascular involvement. Angiotensin-converting enzyme 2 receptor may play a role in acute myocardial injury caused by SARS-CoV-2 infection. COVID-19 patients experiencing heart failure may have their condition exacerbated by various contributing factors and mechanisms. Increased oxygen demand, myocarditis, stress cardiomyopathy, elevated pulmonary pressures, and venous thrombosis are potential health issues. The combination of these factors may lead to COVID-19-related cardiogenic shock, resulting in acute systolic heart failure. Extracorporeal membrane oxygenation (ECMO) and left ventricular assist devices (LVADs) are treatment options when inotropic support fails for effective circulatory support. To ensure effective COVID-19-related cardiovascular disease (CVD) surveillance, it is crucial to closely monitor the future host adaptation, viral evolution, and transmissibility of SARS-CoV-2, given the virus's pandemic potential.

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来源期刊
Tzu Chi Medical Journal
Tzu Chi Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
3.40
自引率
0.00%
发文量
44
审稿时长
13 weeks
期刊介绍: The Tzu Chi Medical Journal is the peer-reviewed publication of the Buddhist Compassion Relief Tzu Chi Foundation, and includes original research papers on clinical medicine and basic science, case reports, clinical pathological pages, and review articles.
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