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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.
Abstract:
Introduction: The novel coronavirus has caused significant mortality worldwide and is primarily associated with severe acute respiratory distress syndrome (ARDS). Apart from ARDS, clinical reports have shown noticeable cardiovascular complications among the patients of COVID-19. Infection from virus, stimulation of cytokine storm, altered immune response, and damage to myocardial tissue are some of the proposed mechanisms of cardiovascular complications in COVID-19.Areas covered: Based on the clinical reports of CVDs among COVID-19 patients, we have discussed the molecular mechanisms involved in cardiovascular pathogenesis, its prevalence, and association with COVID-19, and various available therapeutic modality for the treatment.Expert opinion: Seeing the cardiovascular complications in COVID-19 patients and its association with the existing drug, risk-benefit ratio of treatment paradigm, as well as the level of cardiac injury biomarkers must be monitored regularly. Additionally, a well-designed clinical trial should be conducted where head to head comparison can be made with anti-COVID-19 drugs and cardioprotective anti-inflammatory drugs. Nevertheless, vaccines are the best-suited approach, but until then, sanitization, social distancing, and active lifestyle are the best ways to beat this global pandemic situation.
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