Cardiovascular manifestations secondary to COVID-19: A narrative review

C Fauvel1, A Trimaille2, O Weizman3

  • 1Cardiology Department, Rouen University Hospital, Rouen 76000, France; Division of Cardiovascular Medicine, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.

Insights

Cardiovascular involvement is common in coronavirus disease 2019 (COVID-19), impacting prognosis and requiring early detection. This review covers direct and secondary cardiac issues, vaccine complications, and long-term effects.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic poses a significant global health threat, impacting healthcare systems worldwide.
  • Beyond respiratory symptoms, cardiovascular complications are a major driver of COVID-19 morbidity and mortality.

Purpose of the Study:

  • To review the spectrum of cardiovascular involvement in COVID-19.
  • To highlight the association between cardiac issues and prognosis.
  • To emphasize the importance of early detection for improved patient management.

Main Methods:

  • This is a review article, synthesizing existing literature on COVID-19 and cardiovascular disease.
  • The review examines direct cardiac effects, secondary cardiac manifestations, and pre-existing cardiovascular disease exacerbation.
  • It also addresses cardiovascular complications of COVID-19 vaccines and long-term sequelae.

Main Results:

  • Cardiovascular involvement is a frequent complication of COVID-19.
  • Cardiac issues, including myocarditis, myocardial injury, infarction, and arrhythmias, are linked to poorer outcomes.
  • COVID-19 can exacerbate pre-existing cardiovascular conditions.

Conclusions:

  • Early identification and management of cardiovascular complications are crucial for improving COVID-19 patient outcomes.
  • Understanding the multifaceted cardiovascular impact of COVID-19 is essential for clinical practice and public health strategies.
  • Further research into long-term cardiovascular effects and vaccine-related complications is warranted.

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