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Published on: September 26, 2018
The impact of infection with hepatitis C virus on cardiovascular risk
Roua A Iorga1, Nicolae Bacalbasa2,3, Ovidiu G Bratu2,4,5
1Clinical Emergency Hospital of Bucharest Bucharest, Romania.
Insights
Chronic hepatitis C virus (HCV) infection is a systemic disease impacting cardiovascular and metabolic health. Early treatment can mitigate serious complications like liver cirrhosis and heart disease.
Area of Science:
- Hepatology
- Cardiology
- Endocrinology
Background:
- Chronic hepatitis C virus (HCV) infection progresses beyond liver damage.
- HCV infection is linked to systemic issues including endothelial dysfunction, oxidative stress, and insulin resistance.
- These systemic effects are recognized as significant cardiovascular risk factors.
Purpose of the Study:
- To provide an overview of systemic alterations in chronic HCV infection.
- To emphasize the cardiovascular and metabolic effects of HCV.
- To highlight HCV as a treatable disease with significant health impacts.
Main Methods:
- Literature review of systemic manifestations in chronic HCV infection.
- Analysis of cardiovascular and metabolic consequences.
- Focus on prevalent and important systemic alterations.
Main Results:
- Chronic HCV infection leads to hepatic steatosis, fibrosis, cirrhosis, and hepatocellular carcinoma.
- Systemic manifestations include endothelial dysfunction, atherosclerosis, oxidative stress, insulin resistance, and immunological alterations.
- HCV is associated with increased risk of type 2 diabetes mellitus, stroke, coronary artery disease, and heart failure.
Conclusions:
- Chronic HCV infection is a systemic disease with profound cardiovascular and metabolic implications.
- Systemic alterations associated with HCV significantly impact morbidity and mortality.
- Recognizing and treating HCV is crucial for managing associated systemic complications.
Abstract:
Chronic hepatitis C virus (HCV) infection represents a systemic disease, with a natural progression to hepatic steatosis, fibrosis, and finally, cirrhosis, with an increased risk of hepatocellular carcinoma. Besides the hepatic alterations, the systemic manifestations of chronic HCV infection, such as endothelial dysfunction and atherosclerosis, oxidative stress, insulin resistance, immunological alterations, are nowadays recognized as cardiovascular risk factors. Hepatitis C is associated with insulin resistance and increased risk for type 2 diabetes mellitus, carotid atherosclerosis and stroke, coronary artery disease and chronic heart failure, with a significant impact on the mortality and morbidity. This article represents an overview of the most prevalent and important systemic alterations of chronic HCV infection, with emphasis on their cardiovascular and metabolic effects due to a treatable disease.
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