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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.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic has spread rapidly, becoming a major threat to global health. In addition to having required the adaptation of healthcare workers for almost 2 years, it has been much talked about, both in the media and among the scientific community. Beyond lung damage and respiratory symptoms, the involvement of the cardiovascular system largely explains COVID-19 morbimortality. In this review, we emphasize that cardiovascular involvement is common and is associated with a worse prognosis, and that earlier detection by physicians should lead to better management. First, direct cardiac involvement will be discussed, in the form of COVID-19 myocarditis, then secondary cardiac involvement, such as myocardial injury, myocardial infarction and arrhythmias, will be considered. Finally, worsening of previous cardiovascular disease as a result of COVID-19 will be examined, as well as long-term COVID-19 effects and cardiovascular complications of COVID-19 vaccines.
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