Cardiovascular damage and comorbidities related to long COVID: pathomechanisms, prevention, and therapy

Miroslava Kvandova1, Peter Balis1, Barbora Kalocayova2,3

  • 1Institute of Normal and Pathological Physiology, Centre of Experimental Medicine, Slovak Academy of Sciences, Bratislava, Slovakia.

PubMed

Insights

Long COVID (LC) is a chronic condition following SARS-CoV-2 infection impacting multiple organ systems. This review explores cardiovascular mechanisms and potential micronutrient therapies for Long COVID.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Nutritional Science

Background:

  • Long COVID (LC) is a chronic condition associated with SARS-CoV-2 infection, persisting for over three months and affecting various organ systems, notably the cardiovascular system.
  • Existing research indicates a link between SARS-CoV-2 infection and cardiovascular complications, with endothelial dysfunction emerging as a key pathogenic mechanism in both acute COVID-19 and LC.
  • Despite progress in understanding LC's epidemiology and clinical course, its pathomechanisms remain incompletely understood, hindering the development of targeted therapies.

Purpose of the Study:

  • To provide an up-to-date overview of the cardiovascular pathomechanisms implicated in Long COVID.
  • To explore the potential role of micronutrients, vitamins, minerals, and flavonoids as preventive and therapeutic strategies for cardiovascular manifestations of LC.

Main Methods:

  • This review is based on current literature.
  • It synthesizes existing research on the cardiovascular sequelae of SARS-CoV-2 infection and LC.
  • The review focuses on pathomechanisms and potential nutritional interventions.

Main Results:

  • Endothelial dysfunction is a central pathomechanism in COVID-19 and a key factor in LC's cardiovascular impact.
  • A comprehensive characterization of cardiovascular sequelae post-SARS-CoV-2 infection is still needed.
  • Micronutrients, vitamins, minerals, and flavonoids are being investigated for their potential preventive and therapeutic roles.

Conclusions:

  • Further research is essential to fully elucidate the pathomechanisms of cardiovascular Long COVID.
  • Understanding these mechanisms is crucial for developing effective therapeutic and preventive strategies.
  • Nutritional interventions, including micronutrients and flavonoids, show promise but require further investigation for LC management.

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