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Post-Covid Conditions and their Effects on the Cardiovascular System
M Osadchuk1, I Kolesnikova2, L Zakharova2
1Department of Polyclinic Therapy, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
Insights
Post-COVID conditions include persistent symptoms like anosmia and dyspnea, with cardiovascular issues affecting 15.8% of patients. Middle-aged individuals show the highest cardiovascular disease rates after COVID-19 recovery.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- COVID-19's global impact necessitates research into its long-term effects.
- Understanding post-COVID conditions and cardiovascular complications is crucial due to varied symptoms and limited antiviral treatments.
Purpose of the Study:
- To analyze post-COVID conditions and clinical manifestations of cardiovascular lesions in recovering patients.
- To investigate the prevalence and types of cardiovascular issues following COVID-19 infection.
Main Methods:
- Prospective cohort study of 250 COVID-19 patients (June-August 2021).
- Focused analysis on 200 patients with elevated troponin levels post-hospitalization.
- Assessed cardiovascular variables: tachycardia, ischemia, heart attack, myocarditis, hypertension, blood clots, heart failure.
Main Results:
- Persistent symptoms include anosmia/ageusia (59%), dyspnea (36.7%), and cardiovascular complaints (15.8%).
- Symptom reduction observed by day 60 (5-10%) and activity decrease by day 90 (25-35%).
- Patients aged 40-60 years had the highest incidence of cardiovascular diseases (75%).
Conclusions:
- SARS-CoV-2 infection highlights the critical need for cardiological attention.
- Cardiac screening reveals a high prevalence of serious heart problems in COVID-19 patients.
- Specialized cardiac care and vigilance are essential for managing COVID-19 patients.
Background:
Rising global concerns about COVID-19 recently gained more research attention due to the ease of person-to-person transmission, various symptoms after healing, and the shortage of effective antiviral therapy. The study aims to analyze post-COVID conditions and clinical manifestations of cardiovascular lesions in patients recovering from COVID-19 infection.
Methods:
A practical examination of post-COVID conditions manifestation was conducted in a prospective cohort study, involving 250 patients diagnosed with COVID-19 between June 1, 2021, and August 31, 2021. The study specifically focused on analyzing the cardiovascular effects of COVID-19, utilizing data from a subgroup of 200 patients previously discharged from the hospital with elevated troponin levels. The cardiovascular variables assessed included tachycardia, ischemia, heart attack, myocarditis, hypertension, blood clots, and heart failure.
Results:
It has been observed that among surviving patients, the following symptoms persisted: anosmia/ageusia (59%), severe dyspnea (36.7%), palpitations and complaints related to the cardiovascular sys-tem (15.8%), headaches (13.2%), arthralgia (11.7%), myalgia (9.8%), and hair problems (≥5%). By the 60th day, a reduction in symptoms by 5-10% was noted, and by the 90th day, a decrease in activity by 25-35% was observed. Patients aged 40-60 years exhibited the highest percentage of cardiovascular diseases (75%).
Conclusions:
Consequently, the SARS-CoV-2 virus underscores the critical importance of cardiological attention in patient care. Cardiac screening results in individuals with COVID-19 reveal a significant prevalence of serious heart problems, affecting over half of the patients. This emphasizes the necessity for heightened vigilance and specialized cardiac care when managing patients with COVID-19.
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