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Published on: February 4, 2021
COVID-19 and cardiovascular disease: manifestations, pathophysiology, vaccination, and long-term implication
Adel Abdel Moneim1, Marwa A Radwan1, Ahmed I Yousef1
1Molecular Physiology Division, Faculty of Science, Beni-Suef University, Egypt.
Insights
The COVID-19 pandemic, caused by SARS-CoV-2, affects multiple organs, including the heart. This review examines cardiovascular issues, their causes, and vaccine side effects.
Area of Science:
- Cardiology
- Infectious Diseases
- Immunology
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, presents with diverse clinical manifestations beyond pulmonary symptoms.
- Cardiovascular pathologies such as myocarditis, myocardial infarction, thromboembolism, and arrhythmias are frequently observed in COVID-19 patients.
- Pathophysiological mechanisms include systemic inflammation, coagulopathy, direct viral effects, hypoxemia, and fever.
Purpose of the Study:
- To review the multifaceted cardiovascular involvement during the COVID-19 pandemic.
- To elucidate the clinical features, pathogenesis, and long-term sequelae of COVID-19 related cardiovascular events.
- To analyze adverse effects associated with COVID-19 treatments and vaccines on the cardiovascular system.
Main Methods:
- Literature review of recent evidence on COVID-19 and cardiovascular manifestations.
- Synthesis of data concerning clinical presentations, underlying mechanisms, and outcomes.
- Examination of case reports and studies on vaccine-related cardiovascular adverse events.
Main Results:
- COVID-19 is associated with a wide spectrum of cardiovascular conditions.
- Multiple factors contribute to COVID-19-induced cardiovascular pathology.
- Reports indicate potential cardiovascular adverse events following SARS-CoV-2 vaccination.
Conclusions:
- Understanding cardiovascular involvement is critical for managing COVID-19.
- Further research is needed on the long-term cardiovascular impact of COVID-19 and vaccines.
- Comprehensive assessment of cardiovascular risks and benefits of vaccines is essential.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic is caused by a new coronavirus family member, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and is linked with many disease manifestations in multiple organ systems on top of pulmonary manifestations. COVID-19 is also accompanied by several cardiovascular pathologies including myocarditis, acute myocardial infarction, stress cardiomyopathy, arterial and venous thromboembolism, pericarditis, and arrhythmias. The pathophysiological mechanisms explaining these clinical symptoms are multifactorial including systemic inflammation (cytokine storm), coagulopathy, direct viral invasion through angiotensin-converting enzyme 2, hypoxemia, electrolyte imbalance, and fever. Several case reports have shown the development of an unusual cardiovascular event after receiving SARS-CoV-2 vaccines. The current article aimed to review cardiovascular involvement in the COVID-19 pandemic with respect to clinical features, pathogenesis, long-term effects, and the adverse effects of treatments and vaccines based on the latest evidence.
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