在COVID-19感染后持续的胸痛 - 范围审查
Eva Kubrova1, Alejandro J Hallo-Carrasco2, Johana Klasova2
1Department of Physical Medicine and Rehabilitation, Mayo Clinic Rochester, Rochester, Minnesota, USA.
PM & R : the journal of injury, function, and rehabilitation
|October 31, 2023
概括
在COVID-19后持续的胸痛是常见的,但其原因尚不清楚. 需要更多的研究来了解COVID后胸痛的起源,并开发有效的治疗方法.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 持续的胸部疼痛 (PCP) 是急性COVID-19后经常出现的症状.
- 在COVID-19之后的PCP病因在很大程度上仍然未知,使管理复杂化.
- 本综述解决了COVID-19后关于PCP特征,原因和治疗的知识差距.
研究的目的:
- 为了对COVID-19后的持续性胸痛进行范围审查.
- 描述PCP症状,确定可能的病因,并探索评估方法.
- 总结当前的理解,并强调未来研究的领域.
主要方法:
- 对64项研究 (观察性和准实验性) 的范围审查.
- 搜索数据库,PubMed/MEDLINE,Cochrane CENTRAL,谷歌学者,斯科普斯. 这是一个很好的例子.
- 包括在轻度至重度COVID-19后患有PCP的患者的研究,任何年龄,任何持续时间.
主要成果:
- 在COVID-19后,PCP的流行率高 (0.24%-76.6%跨研究).
- 病因大多没有报告;建议的原因包括内皮功能障碍,心肌炎,肺栓塞.
- 使用了各种评估方法,包括心脏MRI;很少报告特定的治疗方法.
结论:
- 持续的胸痛是COVID-19感染的常见后果.
- 后COVID-19 PCP的潜在原因是多样化的,需要进一步调查.
- 需要针对COVID-19后持续的胸痛进行有针对性的治疗.
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