在COVID-19患者中新发性心房动:叙述性综述
Fahimeh Talaei1, Akshat Banga2, Amanda Pursell3
1Department of Critical Care Medicine, Mayo Clinic, Phoenix, AZ 85054, United States.
World journal of critical care medicine
|January 8, 2024
概括
COVID-19 后新发性心房动 (NOAF) 与持续性心房动有共同的机制,这表明对这些心脏病患者来说,长期随访至关重要. 为了找到最佳的管理策略,还需要进一步的研究.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 电子生理学 电子生理学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 感染与心脏并发症有关,包括新发性心房动 (NOAF).
- 有限的临床数据存在于COVID-19恢复后NOAF的持久性.
- 前庭动 (AF) 构成严重的健康负担,持续的AF需要不同的管理策略.
研究的目的:
- 进行叙述性审查,调查COVID-19相关的NOAF.
- 探索COVID-19相关的NOAF背后的病理生理机制,并将其与持久性AF进行比较.
- 强调延长对COVID-19相关NOAF患者的随访的重要性.
主要方法:
- 对2019年12月至2023年2月期间发表的文章进行了全面的文献搜索.
- 专注于COVID-19后NOAF和持久性AF病理生理学的相似之处.
- 对COVID-19患者NOAF的发病率,发病率和死亡率以及管理的最新数据的调查.
主要成果:
- 在COVID-19后的NOAF机制和持续的AF之间发现了显著的重叠,特别是涉及反应性氧气通路.
- 在COVID-19患有NOAF的患者中,心房重塑的可能性.
- 审查了COVID-19中NOAF发生率,死亡率和管理的数据.
结论:
- 与COVID-19相关的NOAF可能与持久性AF共享病理生理路径.
- 患有COVID-19后NOAF的患者可能从长期监测和量身定制的管理方法中受益.
- 未来的队列研究对于阐明COVID-19后NOAF的长期结果至关重要.
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