COVID-19 and cardiovascular complications: an update from the underlying mechanism to consequences and possible

Ashif Iqubal1, Mohammad Kashif Iqubal2, Farazul Hoda1

  • 1Department of Pharmacology, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi, India.

Insights

COVID-19 significantly impacts the heart, causing cardiovascular complications through various mechanisms. Monitoring cardiac biomarkers and considering cardioprotective therapies are crucial for managing these effects.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Molecular Biology

Background:

  • COVID-19, caused by the novel coronavirus, is linked to severe acute respiratory distress syndrome (ARDS) and significant global mortality.
  • Clinical observations reveal frequent cardiovascular complications in COVID-19 patients, extending beyond respiratory distress.

Purpose of the Study:

  • To explore the molecular mechanisms underlying cardiovascular pathogenesis in COVID-19.
  • To discuss the prevalence and association of cardiovascular diseases (CVDs) with COVID-19.
  • To review available therapeutic modalities for managing cardiovascular complications.

Main Methods:

  • Analysis of clinical reports and existing literature on COVID-19 and cardiovascular complications.
  • Discussion of proposed molecular and immunological mechanisms.
  • Review of current and potential treatment strategies.

Main Results:

  • COVID-19 infection can trigger cytokine storms and immune responses leading to myocardial damage.
  • Cardiovascular complications are prevalent and associated with various mechanisms including direct viral effects and inflammation.
  • Therapeutic strategies require careful consideration of risk-benefit ratios and regular monitoring of cardiac biomarkers.

Conclusions:

  • Regular monitoring of cardiac injury biomarkers is essential for COVID-19 patients.
  • Well-designed clinical trials comparing anti-COVID-19 drugs with cardioprotective agents are needed.
  • While vaccines are optimal, preventive measures like sanitization and social distancing remain vital.

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