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Published on: September 26, 2018
A Review of Long COVID With a Special Focus on Its Cardiovascular Manifestations
Elamein Yousif1, Sarah Premraj1
1Internal Medicine, Al Ahli Hospital, Doha, QAT.
Insights
Long COVID, a chronic condition following SARS-CoV-2 infection, presents with diverse symptoms, notably cardiovascular issues. This review details long COVID
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, has resulted in significant global mortality and morbidity.
- Beyond acute illness, patients experience persistent symptoms, termed long COVID, affecting multiple organ systems.
- Cardiovascular manifestations are a major concern in long COVID, impacting patient recovery and long-term health.
Purpose of the Study:
- To review the chronic manifestations of COVID-19, with a specific emphasis on cardiovascular effects.
- To elucidate the pathophysiology, clinical presentation, and diagnostic approaches for cardiovascular long COVID.
- To propose a multidisciplinary treatment strategy and explore the role of vaccination.
Main Methods:
- Literature review focusing on chronic COVID-19 and cardiovascular sequelae.
- Analysis of existing data on pathophysiology and clinical manifestations.
- Synthesis of diagnostic criteria and treatment modalities for cardiovascular long COVID.
Main Results:
- Long COVID encompasses a wide spectrum of chronic symptoms, including significant cardiovascular complications like cardiomyopathy.
- Understanding the pathophysiology is crucial for diagnosing and managing these long-term effects.
- A multidisciplinary approach is recommended for comprehensive patient care.
Conclusions:
- Cardiovascular manifestations are a critical component of long COVID, requiring dedicated clinical attention.
- Further research into pathophysiology and effective treatments is essential.
- The relationship between vaccination and the long COVID syndrome warrants continued investigation.
Abstract:
The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus has been the cause of the century's worst pandemic so far: coronavirus disease 2019 (COVID-19). It has led to unprecedented mortality and morbidity, resulting in devastating consequences worldwide. The acute manifestations of COVID-19 including respiratory as well as multisystem involvement have been causes of great concern among physicians. However, the long-term effects of the coronavirus have left many patients battling with chronic symptoms, ranging from extreme fatigue to cardiomyopathy. In this article, we review the chronic manifestations of COVID-19 with a focus on cardiovascular manifestations. We discuss the pathophysiology, post-acute sequelae, clinical manifestations, approach to the laboratory diagnosis of cardiovascular manifestations of long COVID, and a proposed multidisciplinary treatment method. We also explore the relationship between vaccination and the long COVID syndrome.
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