Beyond acute infection: molecular mechanisms underpinning cardiovascular complications in long COVID

Roba Hamed Mostafa1,2, Ahmed Moustafa1,2,3

  • 1Systems Genomics Laboratory, American University in Cairo, New Cairo, Egypt.

Insights

Long COVID, a persistent condition after SARS-CoV-2 infection, causes lasting cardiovascular issues even in asymptomatic cases. This review explores these complications, treatments, and potential transgenerational effects.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • SARS-CoV-2 infection leads to significant cardiovascular complications, impacting patients long after acute illness.
  • These persistent cardiovascular issues, part of post-acute COVID-19 syndrome (PACS) or Long COVID, affect both symptomatic and asymptomatic individuals.
  • With over 756 million global cases, Long COVID presents substantial health and healthcare system challenges.

Purpose of the Study:

  • To comprehensively review the persistent cardiovascular complications associated with COVID-19.
  • To explore emerging therapeutic strategies for managing these cardiovascular sequelae.
  • To discuss potential transgenerational repercussions of SARS-CoV-2 infection.

Main Methods:

  • Systematic literature review of studies on cardiovascular complications of COVID-19.
  • Analysis of data on the prevalence and nature of Long COVID cardiovascular manifestations.
  • Evaluation of current and emerging treatment options for cardiovascular sequelae.

Main Results:

  • COVID-19 frequently results in prolonged cardiovascular issues, including myocarditis, arrhythmias, and thromboembolic events.
  • Long COVID cardiovascular complications affect a wide range of cardiac functions and structures.
  • Emerging therapies show promise in mitigating symptoms and improving outcomes, though further research is needed.

Conclusions:

  • Persistent cardiovascular complications are a major concern of Long COVID, necessitating ongoing clinical attention.
  • Therapeutic strategies are evolving to manage these sequelae, requiring further investigation and validation.
  • The potential for transgenerational effects of SARS-CoV-2 on cardiovascular health warrants urgent research and proactive measures.

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