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The impact of SARS-CoV-2 treatment on the cardiovascular system: an updated review
Mohammed Ahmed Akkaif1, Abubakar Sha'aban2, Arturo Cesaro3
1School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800, Penang, Malaysia.
Abstract:
The coronavirus disease-2019 (COVID-19) pandemic has become a major global health problem. COVID-19 is caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and exhibits pulmonary and extrapulmonary effects, including cardiovascular involvement. There are several attempts to identify drugs that could treat COVID-19. Moreover, many patients infected with COVID-19 have underlying diseases, particularly cardiovascular diseases. These patients are more likely to develop severe illnesses and would require optimized treatment strategies. The current study gathered information from various databases, including relevant studies, reviews, trials, or meta-analyses until April 2022 to identify the impact of SARS-CoV-2 treatment on the cardiovascular system. Studies have shown that the prognosis of patients with underlying cardiovascular disease is worsened by COVID-19, with some COVID-19 medications interfering with the cardiovascular system. The COVID-19 treatment strategy should consider many factors and parameters to avoid medication-induced cardiac injury, mainly in elderly patients. Therefore, this article provides a synthesis of evidence on the impact of different COVID-19 medications on the cardiovascular system and related disease conditions.
Insights
COVID-19 treatments can impact the cardiovascular system, especially in patients with pre-existing heart conditions. Careful consideration of drug interactions is crucial to prevent cardiac injury during COVID-19 treatment.
Area of Science:
- Cardiology
- Infectious Diseases
- Pharmacology
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, presents significant global health challenges.
- Extrapulmonary effects of COVID-19, including cardiovascular involvement, are increasingly recognized.
- Patients with underlying cardiovascular diseases face higher risks of severe illness and require tailored treatment.
Purpose of the Study:
- To synthesize evidence on the cardiovascular impact of COVID-19 treatments.
- To identify potential medication-induced cardiac injury in COVID-19 patients.
- To inform optimized treatment strategies, particularly for vulnerable populations.
Main Methods:
- Comprehensive literature search of databases until April 2022.
- Inclusion of relevant studies, reviews, trials, and meta-analyses.
- Analysis of reported impacts of SARS-CoV-2 treatments on the cardiovascular system.
Main Results:
- COVID-19 negatively affects prognosis for patients with pre-existing cardiovascular disease.
- Certain COVID-19 medications have been shown to interfere with cardiovascular function.
- Risk of medication-induced cardiac injury is a concern, especially in elderly patients.
Conclusions:
- COVID-19 treatment strategies must account for cardiovascular risks.
- A thorough understanding of drug-cardiac system interactions is essential for safe and effective patient management.
- Further research is needed to optimize COVID-19 therapies for cardiovascular safety.
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