Cardiovascular disease and covid-19: A systematic review

B A Krishna1, M Metaxaki1, N Sithole1,2

  • 1Department of Medicine, University of Cambridge, Cambridge, United Kingdom.

Insights

COVID-19 causes numerous cardiovascular complications, including heart attacks and arrhythmias. These issues can persist, contributing to Long COVID symptoms and impacting long-term cardiovascular health.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • Cardiovascular complications associated with COVID-19 are extensive and not fully understood.
  • The virus SARS-CoV-2 can lead to a wide range of cardiac issues.

Purpose of the Study:

  • To conduct a systematic review of acute and chronic cardiovascular complications following COVID-19 infection.
  • To consolidate current knowledge on the cardiac sequelae of COVID-19.

Main Methods:

  • A systematic literature review was performed using the Medline database via PubMed.
  • The review encompassed studies published between 2020 and 2024.

Main Results:

  • COVID-19 presents numerous acute cardiovascular effects, including myocardial injury, myocarditis, arrhythmias, heart failure, and Takotsubo cardiomyopathy.
  • These acute cardiac injuries can persist, potentially underlying some symptoms of Long COVID.
  • Pathophysiological mechanisms linking SARS-CoV-2 infection to cardiac damage are discussed.

Conclusions:

  • Cardiovascular complications of COVID-19 are significant and potentially life-threatening.
  • Long COVID may involve persistent cardiovascular dysfunction.
  • Targeting SARS-CoV-2-induced microclotting presents a potential therapeutic avenue for Long COVID's cardiovascular manifestations.
Abstract

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