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Adverse effects, pharmacological interactions, and cardiovascular drugs in COVID-19 treatment
Eduardo Chuquiure-Valenzuela1, Patricia Chuquiure-Valenzuela2, María J Chuquiure-Gil3
1Department of Clinical Cardiology, National Institute Cardiology Ignacio Chávez, Mexico City, Mexico.
Insights
Severe coronavirus disease (COVID)-19 can cause myocardial injury and worsen cardiovascular conditions. This review guides safe treatment by examining adverse effects and drug interactions in COVID-19 patients with heart disease.
Area of Science:
- Cardiology
- Infectious Diseases
- Pharmacology
Background:
- Severe coronavirus disease (COVID)-19 is linked to significant systemic inflammation.
- This inflammation can lead to myocardial injury, including acute myocarditis, inflammation, and necrosis.
- These cardiac issues can exacerbate existing cardiovascular conditions like heart failure and hypertension, leading to poor outcomes.
Purpose of the Study:
- To provide guidance on managing cardiovascular (CV) drugs in COVID-19 patients.
- To correlate adverse effects and pharmacological interactions of CV drugs used in COVID-19 treatment.
- To offer a synopsis for safe and effective treatment strategies.
Main Methods:
- Literature review and synthesis of existing data.
- Analysis of pharmacological interactions between COVID-19 treatments and cardiovascular drugs.
- Correlation of adverse effects with specific drug combinations.
Main Results:
- COVID-19 treatments can interact with various cardiovascular medications.
- Adverse effects on the cardiovascular system are a significant concern in severe COVID-19.
- Understanding these interactions is crucial for patient outcomes.
Conclusions:
- A comprehensive understanding of drug interactions is essential for managing COVID-19 patients with cardiovascular disease.
- Guidance is needed to optimize treatment by minimizing adverse effects and drug interactions.
- This synopsis aims to support clinicians in making informed therapeutic decisions.
Abstract:
In severe coronavirus disease (COVID)-19 patients, an extraordinary systemic inflammatory response is seen. It could impact in multiple organ disorders, specially a severe myocardial injury, an acute myocarditis results in focal or global myocardial inflammation and necrosis. Those events can be present in healthy subjects or cardiovascular (CV) patients. It is clinically associated with ventricular dysfunction exacerbation or worsening and tachyarrhythmias. It is also related to a poor outcome for CV patients with ischemic heart disease, hypertensión, and heart failure. COVID-19 patients require multiple and complex treatment that alleviates symptoms, the vast variety of agents interacts with diseases and CV drugs. Our purpose is to correlate in guidance synopsis: Adverse effects, pharmacological interactions, and CV drugs in COVID-19 treatment.
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