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.

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