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Cytokine storms caused by novel coronavirus 2019 and treatment for cardiac injury
1Department of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China. daiminzh@126.com.
Insights
Cytokine storm syndrome (CSS) exacerbates COVID-19 pneumonia, leading to critical illness and death. Early identification and pharmacotherapy for CSS are crucial for improving patient prognosis in COVID-19 treatment.
Area of Science:
- Infectious Diseases
- Immunology
- Pharmacology
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, has spread globally since December 2019.
- Cytokine storm syndrome (CSS) is increasingly recognized as a key factor in the progression of COVID-19 pneumonia to critical illness and mortality.
- Current COVID-19 treatment strategies are focusing on the early identification and management of CSS.
Purpose of the Study:
- To review the pathophysiology of cytokine storms.
- To explore potential pharmacotherapies for managing cytokine storms.
- To provide a reference for clinical treatment of CSS in COVID-19 patients.
Main Methods:
- Literature review of cytokine storms.
- Exploratory review of pharmacotherapeutic agents for CSS.
- Analysis of current treatment approaches for COVID-19 associated CSS.
Main Results:
- Cytokine storms are implicated in the severe manifestations of COVID-19.
- No specific drug is currently approved for CSS treatment.
- Pharmacotherapy review highlights potential treatment avenues.
Conclusions:
- Early identification and intervention for CSS are vital for improving COVID-19 patient outcomes.
- Further research into targeted pharmacotherapy for CSS is warranted.
- This review offers insights into managing CSS for clinicians treating COVID-19.
Abstract:
Since December 2019, an outbreak of a new coronavirus, COVID-19, infection has been taking place. At present, COVID-19 has spread to most countries worldwide. The latest evidence suggests that cytokine storm syndrome (CSS) is an important cause of the transition from mild to critical pneumonia and critically ill patients' death. The sudden exacerbation of COVID-19 may be related to a cytokine storm. Therefore, early identification and active treatment of CSS may play very important roles in improving the patients' prognosis, and these tasks are given attention in the current treatment of new Coronavirus pneumonia. However, there is still no specific medicine for this purpose. This article reviews cytokine storms and conducts an exploratory review of pharmacotherapy for cytokine storms to provide a reference for clinical treatment.
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