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Published on: June 22, 2022
Influence of COVID-19 on Cerebrovascular Disease and its Possible Mechanism
Hongyang Fan1,2, Xiaojia Tang2,3, Yuxia Song2,3
1Clinical Medical College, Yangzhou University, Yangzhou City, Jiangsu Province, People's Republic of China.
Insights
The COVID-19 pandemic poses significant risks, especially for elderly individuals with pre-existing conditions like cerebrovascular disease. This study explores the impact of COVID-19 on cerebrovascular health and potential mechanisms.
Area of Science:
- Infectious Diseases
- Neurology
- Public Health
Background:
- The global spread of COVID-19 presents a major public health challenge, particularly impacting elderly populations with comorbidities such as hypertension, diabetes, cardiovascular, and cerebrovascular diseases.
- COVID-19 infection can lead to severe outcomes, including acute respiratory distress syndrome and a detrimental "cytokine storm," with highest mortality rates observed in vulnerable groups.
Purpose of the Study:
- To summarize the influence of COVID-19 on cerebrovascular disease.
- To discuss potential pathophysiological mechanisms linking COVID-19 and cerebrovascular complications.
- To offer new perspectives for the prevention and diagnosis of cerebrovascular disease in the context of COVID-19.
Main Methods:
- Literature review and synthesis of existing research on COVID-19 and cerebrovascular disease.
- Analysis of reported cases and epidemiological data.
- Discussion of immunological and inflammatory pathways involved.
Main Results:
- COVID-19 infection is associated with increased risk and potential complications in patients with cerebrovascular disease, including acute stroke.
- The virus can exacerbate underlying cerebrovascular conditions through systemic inflammation and immune dysregulation.
- Effective preventive strategies remain crucial, focusing on infection control and protecting susceptible populations.
Conclusions:
- COVID-19 significantly impacts cerebrovascular disease, necessitating further research into its mechanisms.
- Understanding these mechanisms can guide improved diagnostic and therapeutic approaches for cerebrovascular complications in COVID-19 patients.
- Integrated strategies for managing both COVID-19 and cerebrovascular disease are critical for public health.
Abstract:
The global spread of COVID-19 has caused a substantial societal burden and become a major global public health issue. The COVID-19 elderly population with hypertension, diabetes, cardiovascular, and cerebrovascular diseases are at risk. Mortality rates are highest in these individuals if infected with COVID-19. Although the lungs are the main organs involved in acute respiratory distress syndrome caused by COVID-19 infection, COVID-19 triggers inflammatory and immune mechanisms, inducing a "cytokine storm" that aggravates disease progression and may lead to death. Presently, effective drugs are lacking, although current studies have confirmed that drugs with therapeutic potential include redaciclovir, lopinavir/ritonavir combined with interferon-β, convalescent plasma, and monoclonal antibodies. Currently, the most reasonable and effective way to prevent COVID-19 is to control the source of infection, terminate routes of transmission, and protect susceptible populations. With the rise of COVID-19 in China and worldwide, further prevention, diagnosis, and treatment measures are a critical unmet need. Cerebrovascular disease has high incidence, disability rate, and fatality rate. COVID-19 patient outcomes may also be complicated with acute stroke. This paper summarizes the influence of COVID-19 on cerebrovascular disease and discusses possible pathophysiological mechanisms to provide new angles for the prevention and diagnosis of this disease.
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