COVID-19中的心肌炎:以儿科人群为重点

IF 1.3 American journal of cardiovascular disease Pub Date : 2023-01-01
Bshara Sleem, Rana Zareef, Fadi Bitar, Mariam Arabi
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引用次数: 0

摘要

2019年底出现的新型SARS-CoV-2病毒带来了前所未有的新的全球挑战。COVID-19引起的并发症从轻微到严重不等,在某些情况下可导致死亡。心肌已被证明是这种病毒的潜在靶点,并在不同程度上受到影响,导致许多并发症,包括心肌炎。本文对COVID-19与心肌炎相关的临床表现、分子基础、诊断方式和治疗方法进行了全面和最新的文献综述,并特别关注儿科人群。COVID-19与心肌炎之间确实存在联系,但这种关系的表现因病例而异。在分子水平上,多种病毒和免疫因素参与心肌炎的发生。诊断、治疗和结果也各不相同,但可以注意到一些共同的趋势。正确、及时地诊断和治疗sars - cov -2诱导的心肌炎至关重要。不幸的是,文献中的数据明显缺乏,尤其是儿科人群;因此,需要进一步的大规模临床研究来获得清晰有效的指导方针。
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Myocarditis in COVID-19: a focus on the pediatric population.

The emergence of the novel SARS-CoV-2 virus in late 2019 introduced new, unpreceded global challenges. Complications arising from COVID-19 widely range from mild to severe and, in some cases, lead to death. The myocardium has proven to be a potential target site for this virus, and has been affected at various levels, resulting in numerous complications, including myocarditis. This article represents a thorough and updated literature review on the clinical manifestations of COVID-19 that pertain to myocarditis, its molecular basis, diagnostic modalities, and treatment approaches, with a special focus on the pediatric population. There definitely is a link between COVID-19 and myocarditis, but the manifestations of this relationship vary from one case to another. At the molecular level, various viral and immunologic factors contribute to the development of myocarditis. Diagnosis, treatment, and outcomes vary as well, but some common trends can be noted. Proper and prompt diagnosis and treatment of SARS-CoV-2-induced myocarditis are crucial. Unfortunately, data in the literature suffers from conspicuous scarcity, especially for the pediatric population; thus, further large-scale clinical studies are required to attain clear and effective guidelines.

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来源期刊
American journal of cardiovascular disease
American journal of cardiovascular disease CARDIAC & CARDIOVASCULAR SYSTEMS-
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期刊最新文献
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