Pathophysiology and pharmacological management of pulmonary and cardiovascular features of COVID-19
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Walid Hamouche1, Malik Bisserier2, Agnieszka Brojakowska2
1Cardiovascular Research Center, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Internal Medicine Department, Brookdale University Hospital Medical Center, Brooklyn, NY, USA.
Insights
This review examines COVID-19 epidemiology, risk factors, and pathophysiology. It also highlights potential treatments and vaccines for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).
Area of Science:
- Epidemiology
- Pathophysiology
- Infectious Diseases
Background:
- The first COVID-19 case in the US was reported January 20, 2020.
- As of November 24, 2020, over 12.2 million cases and 255,958 deaths were reported in the US.
- The rapid transmission and varied presentation of SARS-CoV-2 establish COVID-19 as a significant public health concern.
Purpose of the Study:
- To discuss global and US epidemiological data and risk factors for COVID-19.
- To summarize the pathophysiology of SARS-CoV-2 infection, including molecular mechanisms of respiratory and cardiovascular effects.
- To highlight potential treatments, vaccines, and ongoing clinical trials for COVID-19.
Main Methods:
- Literature review of epidemiological data.
- Summary of current research on SARS-CoV-2 molecular mechanisms.
- Overview of therapeutic and vaccine development for COVID-19.
Main Results:
- COVID-19 has demonstrated rapid global transmission and significant mortality.
- SARS-CoV-2 infection involves complex molecular pathways affecting multiple organ systems.
- Numerous treatments and vaccines are under investigation, with several in clinical trials.
Conclusions:
- Understanding COVID-19 epidemiology and pathophysiology is crucial for public health.
- Ongoing research into treatments and vaccines offers hope for managing the pandemic.
- Continued vigilance and research are necessary to combat the evolving threat of SARS-CoV-2.
Abstract:
The first confirmed case of novel Coronavirus Disease 2019 (COVID-19) in the United States was reported on January 20, 2020. As of November 24, 2020, close to 12.2 million cases of COVID-19 was confirmed in the US, with over 255,958 deaths. The rapid transmission of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), its unusual and divergent presentation has strengthened the status of COVID-19 as a major public health threat. In this review, we aim to 1- discuss the epidemiological data from various COVID-19 patient cohorts around the world and the USA as well the associated risk factors; 2- summarize the pathophysiology of SARS-CoV-2 infection and the underlying molecular mechanisms for the respiratory and cardiovascular manifestations; 3- highlight the potential treatments and vaccines as well as current clinical trials for COVID-19.
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