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Published on: November 10, 2023
Ischemic Stroke and SARS-CoV-2 Infection: The Bidirectional Pathology and Risk Morbidities
Vishal Chavda1, Bipin Chaurasia2, Alessandro Fiorindi3
1Department of Pathology, Stanford School of Medicine, Stanford University Medical Center, San Francisco, CA 94305, USA.
Insights
COVID-19 and stroke share complex pathophysiology and risk factors, making them a dangerous combination. Understanding these links is crucial for effective medical management and developing new COVID-19 stroke therapeutics.
Area of Science:
- Neurology
- Infectious Diseases
- Cardiovascular Science
Background:
- Stroke is a critical condition requiring immediate medical care.
- COVID-19 presents neurological symptoms, including ischemic brain damage, complicating treatment.
- Co-morbidities like diabetes and hypertension exacerbate risks in COVID-19 patients.
Purpose of the Study:
- To review the literature on COVID-19 and stroke.
- To explore shared pathophysiology and risk factors between SARS-CoV-2 infection and stroke.
- To discuss challenges and advancements in managing stroke-associated COVID-19.
Main Methods:
- Literature research was conducted using PubMed, MEDLINE, and Scopus.
- A narrative review approach was employed.
- Analysis focused on published papers detailing COVID-19 and stroke.
Main Results:
- SARS-CoV-2 infection and stroke exhibit parallel manifestations and risk factors.
- The pathophysiology of COVID-19 and stroke shows complex similarities.
- COVID-19 combined with co-morbidities presents a fatal risk in intensive care.
Conclusions:
- COVID-19 and stroke represent a lethal combination due to shared risk factors and pathophysiology.
- Effective medical management requires addressing these intertwined conditions.
- Further research into therapeutics for stroke-associated COVID-19 is essential.
Abstract:
Stroke is a fatal morbidity that needs emergency medical admission and immediate medical attention. COVID-19 ischemic brain damage is closely associated with common neurological symptoms, which are extremely difficult to treat medically, and risk factors. We performed literature research about COVID-19 and ischemia in PubMed, MEDLINE, and Scopus for this current narrative review. We discovered parallel manifestations of SARS-CoV-19 infection and brain ischemia risk factors. In published papers, we discovered a similar but complex pathophysiology of SARS-CoV-2 infection and stroke pathology. A patient with other systemic co-morbidities, such as diabetes, hypertension, or any respiratory disease, has a fatal combination in intensive care management when infected with SARS-CoV-19. Furthermore, due to their shared risk factors, COVID-19 and stroke are a lethal combination for medical management to treat. In this review, we discuss shared pathophysiology, adjuvant risk factors, challenges, and advancements in stroke-associated COVID-19 therapeutics.
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