COVID-19 大流行对心血管疾病患者的短期和长期影响:微型综述

IF 1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Daniel Caldeira, Joana Brito, Catarina Gregório, Rui Plácido, Fausto Pinto
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引用次数: 0

摘要

COVID-19 大流行对心血管疾病(CVD)患者产生了深远的短期和长期影响。在这篇文章中,我们将概述大流行对原有心血管疾病患者的影响。从短期来看,严重急性呼吸系统综合征冠状病毒 2 感染增加了许多心血管事件的风险。此外,疫情扰乱了世界各地的医疗保健系统,导致常规护理受到限制,获得专门的心血管服务和程序的机会有限。这导致心血管疾病(冠心病、肥厚型心肌病、心力衰竭(HF)、心脏移植受者、心房颤动、心房扑动、中风或外周动脉疾病)患者的发病率和死亡率上升。从长远来看,COVID-19 对心血管疾病患者的影响超出了疾病的急性期。研究强调,COVID-19 存活者会出现长期心血管并发症,如急性冠状动脉综合征心肌炎、高血压、中风、静脉血栓栓塞和心律失常,这可能会导致在疫情后时代与心血管疾病相关的新病例激增。医疗保健系统必须优先考虑心血管病护理,制定战略以识别高危患者并提供护理,从而最大限度地减少大流行对心血管病患者的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Short- and long-term effects of the COVID-19 pandemic on patients with cardiovascular diseases: A mini-review
The COVID-19 pandemic had profound implications for patients with cardiovascular diseases (CVDs), both in the short- and long-term. In this article, we provide an overview of the effects of the pandemic on individuals with preexisting cardiovascular conditions. In the short term, the severe acute respiratory syndrome coronavirus 2 infection increased the risk of many cardiovascular events. Furthermore, the pandemic has disrupted health-care systems worldwide, leading to constraints in routine care, and limited access to specialized cardiovascular services and procedure. This has resulted in increased morbidity and mortality rates among patients with CVD (coronary artery disease, hypertrophic cardiomyopathy, heart failure (HF), heart transplant recipients, atrial fibrillation, atrial flutter, previous stroke, or previous peripheral artery disease). In the long term, the COVID-19 impact on patients with CVD extends beyond the acute phase of the disease. Studies have highlighted the development of long-term cardiovascular complications in COVID-19 survivors, such as acute coronary syndrome myocarditis, HF, stroke, venous thromboembolism, and arrhythmias, which may lead to a surge of new cases associated with CVD in the postpandemic era. Health-care systems must prioritize cardiovascular care, developing strategies to identify the patients at higher risk and provide the care to minimize the impact of the pandemic on patients with CVD.
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CiteScore
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