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Coronavirus (COVID-19) infection - impact on cardiovascular system
Mariam Ahmed1, Patrick Anthony Ball1, Hana Morrissey1
1School of Pharmacy, Faculty of Science and Engineering, University of Wolverhampton, United Kingdom.
Insights
COVID-19 infection significantly impacts the cardiovascular system, increasing mortality risk, especially in patients with pre-existing heart conditions. Primary care providers must monitor evolving evidence for optimal patient management.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Coronaviruses, including SARS-CoV-2 causing COVID-19, are RNA viruses impacting multiple organ systems.
- Cardiovascular complications are a significant concern in COVID-19 patients.
- Myocardial injury is strongly associated with increased mortality in COVID-19.
Purpose of the Study:
- To review the impact of COVID-19 on the cardiovascular system.
- To outline patient management strategies in primary and community care settings.
Main Methods:
- A literature search and review of published papers from 2020.
- Focus on studies concerning Coronaviruses and cardiovascular disease.
Main Results:
- Myocardial injury is a key factor in COVID-19 mortality.
- Patients with underlying cardiovascular diseases face a worse prognosis.
- Inflammation is a potential mechanism for cardiac injury in COVID-19.
Conclusions:
- Aggressive COVID-19 treatment is recommended for patients with cardiovascular diseases.
- Primary care practitioners must stay updated on emerging evidence for managing at-risk patients.
- Continued monitoring of evolving research is crucial for understanding COVID-19's cardiovascular impact.
Aim:
This review aimed to explain novel coronavirus (COVID-19) infection impact on cardiovascular system and patients management in community and primary care settings.
Method:
Literature search and review limited to 2020 of published papers identified dealing with Coronavirus and cardiovascular disease.
Results:
Coronavirus is a large family of positive-sense, enveloped, single-stranded RNA viruses that belong to the Nidovirales order. Covid-19 refers to infection with the SARS-CoV-2 variant. Myocardial injury has a considerable association with mortality outcomes for COVID-19 infection. The prognosis of patients with underlying cardiovascular diseases, who had not sustained myocardial injury was relatively favourable. Inflammation may also be a potential mechanism for myocardial injury. So far, current evidence suggests statistically significant associations between cardiac injury and mortality in patients with COVID-19. Whether this is mediated by destruction of angiotensin converting enzyme 2 in heart cells or by other mechanisms, is being investigated.
Conclusion:
In patients with underlying cardiovascular diseases, aggressive treatment for COVID-19 should be considered and clinicians should be aware of the significantly increased risk of serious infection and worse prognosis in this patient group. New evidence and studies are continually emerging and will confirm or refute our current understanding about COVID-19 impact. Primary care practitioners are urged to continue to monitor the evolving evidence to appropriately manage their patients who are at risk of, or currently diagnosed with cardiovascular conditions.
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