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Updated: Jun 22, 2025

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses
Published on: November 10, 2023
Global Perspective on COVID-19 Therapies, Cardiovascular Outcomes, and Implications for Long COVID: A
Azza Sarfraz1, Zouina Sarfraz2, Shehar Bano2
1Aga Khan University, Karachi, Pakistan.
Insights
This review examines cardiovascular outcomes of repurposed therapies used during the COVID-19 pandemic. It clarifies the rationale for clinical trials and future directions for pandemic drug repurposing.
Area of Science:
- Cardiology
- Pharmacology
- Infectious Diseases
Background:
- The COVID-19 pandemic accelerated the repurposing of existing therapies for novel applications.
- Many repurposed drugs, previously used for influenza and Ebola, were investigated during the pandemic.
- Understanding the cardiovascular implications of these therapies is crucial.
Purpose of the Study:
- To establish a comprehensive understanding of the cardiovascular outcomes associated with repurposed therapies during the COVID-19 pandemic.
- To elucidate the rationale behind clinical trials involving repurposed drugs in a pandemic context.
- To guide future therapeutic strategies and clinical trial designs for pandemic preparedness.
Main Methods:
- State-of-the-art literature review.
- Analysis of cardiovascular involvement of repurposed therapies.
- Examination of clinical trial data and outcomes.
Main Results:
- The review synthesizes current knowledge on the cardiovascular effects of repurposed drugs.
- Identifies patterns in cardiovascular complications and benefits across different therapeutic agents.
- Highlights the importance of cardiovascular monitoring in repurposed therapy trials.
Conclusions:
- Repurposed therapies during pandemics necessitate thorough cardiovascular risk-benefit assessments.
- A deeper understanding of cardiovascular involvement informs safer and more effective clinical trial designs.
- This review provides a foundation for optimizing drug repurposing strategies in future public health emergencies.
Abstract:
The COVID-19 pandemic has resulted in many therapies, of which many are repurposed and used for other diseases in the last decade such in Influenza and Ebola. We intend to provide a robust foundation for cardiovascular outcomes of the therapies to better understand the rationale for the clinical trials that were conducted during the COVID-19 pandemic, and to gain more clarity on the steps moving forward should the repurposing provide clinical benefit in pandemic situations. With this state-of-the-art review, we aim to improve the understanding of the cardiovascular involvement of the therapies prior to, during, and after the COVID-19 pandemic to provide meaningful findings to the cardiovascular specialists and clinical trials for therapies, moving on from the period of pandemic urgency.
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