在COVID后患者中心血管风险因素的演变
Irina Mihaela Abdulan1,2, Veronica Feller2, Andra Oancea1,2
1Department of Medical Specialties I, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Journal of clinical medicine
|October 28, 2023
概括
幸存者COVID-19面临的显著增加患高血压和失脂症的风险. 年龄,女性性别和较高的BMI等因素有助于感染后新发高血压.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19 (冠状病毒疾病2019) 给健康带来了重大挑战,人们越来越担心长期的心血管并发症.
- 虽然急性COVID-19影响得到了充分记录,但急性后阶段需要对心血管疾病 (CVD) 风险进行进一步调查.
- 目前的证据仅限于COVID-19幸存者是否面临新发高血压或代谢综合征的更高风险.
研究的目的:
- 评估COVID-19感染后患心血管疾病的风险.
- 评估这些COVID-19后心血管疾病的最佳治疗策略.
- 为了确定与COVID-19后期新发性高血压相关的风险因素.
主要方法:
- 在551名住院患者中选择了70名患有多种并发症的患者,在30天内被诊断出COVID-19,从551名住院患者中选择了一个队列.
- 数据是在罗马尼亚Iasi临床康复医院心血管康复诊所收集的,时间为2022年9月1日至12月31日.
- 该研究包括18岁以上的患者,比较COVID-19感染前后的心血管风险因素.
主要成果:
- 观察到高血压风险显著增加,从COVID-19前的69.57%上升到COVID-19后的90% (p = 0.005).
- 新出现高血压的确定的危险因素包括晚年,女性性别和体重指数 (BMI) 升高.
- 脱脂症的患病率翻了一番,研究参与者平均BMI也较高.
结论:
- COVID-19感染与患高血压和相关心血管疾病的风险增加有关.
- 这些发现强调了监测从COVID-19中恢复过来的个人心血管健康的重要性.
- 进一步研究针对COVID-19后心血管并发症的有针对性的干预措施是有必要的.
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