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Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
Published on: September 27, 2024
Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China
Bo Li1, Jing Yang2,3, Faming Zhao4
1Department of Cardiology, Zibo Central Hospital, Shandong University, No. 10, Sonth Shanghai Road, Zibo, 255000, People's Republic of China. libosubmit@163.com.
Insights
Cardiovascular metabolic diseases increase COVID-19 severity and worsen outcomes. Patients with these conditions face higher risks of severe illness and cardiac injury from the novel coronavirus (COVID-19).
Area of Science:
- Cardiology
- Infectious Diseases
- Metabolic Disorders
Background:
- Cardiovascular metabolic comorbidities are linked to increased susceptibility and severity of COVID-19.
- Understanding this association is crucial for managing patients with 2019 novel coronavirus (2019-nCoV) disease (COVID-19).
Purpose of the Study:
- To determine the association between cardiovascular metabolic diseases and the development of severe COVID-19.
- To analyze the prevalence and incidence of these comorbidities in COVID-19 patients.
Main Methods:
- A meta-analysis was conducted on six eligible studies involving 1527 patients.
- Prevalence of cardiovascular metabolic diseases in COVID-19 patients was summarized.
- Incidences of comorbidities in intensive care unit (ICU)/severe versus non-ICU/severe COVID-19 patients were compared using data from Embase and PubMed.
Main Results:
- Prevalence rates for hypertension, cardio-cerebrovascular disease, and diabetes were 17.1%, 16.4%, and 9.7%, respectively.
- Incidences of hypertension, cardio-cerebrovascular diseases, and diabetes were 2-3 times higher in severe COVID-19 cases.
- Acute cardiac injury occurred in at least 8.0% of COVID-19 patients, with a 13-fold higher incidence in severe cases.
Conclusions:
- Pre-existing cardiovascular metabolic diseases are associated with a greater risk of severe COVID-19.
- These comorbidities significantly impact COVID-19 prognosis and can exacerbate cardiac damage.
- COVID-19 infection can, in turn, worsen cardiac injury in affected patients.
Background:
Studies have reminded that cardiovascular metabolic comorbidities made patients more susceptible to suffer 2019 novel corona virus (2019-nCoV) disease (COVID-19), and exacerbated the infection. The aim of this analysis is to determine the association of cardiovascular metabolic diseases with the development of COVID-19.
Methods:
A meta-analysis of eligible studies that summarized the prevalence of cardiovascular metabolic diseases in COVID-19 and compared the incidences of the comorbidities in ICU/severe and non-ICU/severe patients was performed. Embase and PubMed were searched for relevant studies.
Results:
A total of six studies with 1527 patients were included in this analysis. The proportions of hypertension, cardia-cerebrovascular disease and diabetes in patients with COVID-19 were 17.1%, 16.4% and 9.7%, respectively. The incidences of hypertension, cardia-cerebrovascular diseases and diabetes were about twofolds, threefolds and twofolds, respectively, higher in ICU/severe cases than in their non-ICU/severe counterparts. At least 8.0% patients with COVID-19 suffered the acute cardiac injury. The incidence of acute cardiac injury was about 13 folds higher in ICU/severe patients compared with the non-ICU/severe patients.
Conclusion:
Patients with previous cardiovascular metabolic diseases may face a greater risk of developing into the severe condition and the comorbidities can also greatly affect the prognosis of the COVID-19. On the other hand, COVID-19 can, in turn, aggravate the damage to the heart.
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