在后COVID时代,心血管疾病的负担
Justin Liu1, Maria Cepeda1, Brulinda Frangaj1
1Department of Medicine, Division of Cardiology, Columbia University Irving Medical Center, 60 Haven Avenue (Tower 1), Level B2 (Lobby Level) - Office Suite B234, New York, NY 10032, USA.
Primary care
|January 26, 2024
概括
在美国,COVID-19大流行扰乱了心血管疾病 (CVD) 的预防和管理,导致预期寿命下降. 本综述审查了大流行对心血管疾病风险因素的影响,并提出了解决方案.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 流行病学 流行病学
背景情况:
- 在2019年之前,心血管疾病 (CVD) 是美国的主要死亡原因.
- 随着COVID-19的流行,包括心血管保健在内的医疗保健服务发生了重大变化.
- 美国预期寿命的下降可能与CVD预防和风险因素管理的流行病相关破坏有关.
研究的目的:
- 审查SARS-CoV-2和COVID-19流行病对美国心血管疾病风险因素预防和管理的影响.
- 确定挑战,并为受这些干扰影响的患者提出潜在的解决方案.
主要方法:
- 关于自2020年以来发表的研究的文献综述,重点关注大流行对心血管健康的影响.
- 对初级和二级心血管疾病预防策略中出现的干扰的分析.
- 检查大流行期间控制主要心血管疾病风险因素的情况.
主要成果:
- 疫情导致常规心血管护理和查的重大中断.
- 对关键心血管疾病风险因素 (如高血压,糖尿病和高脂血症) 的管理产生了负面影响.
- 观察到延迟诊断和减少对治疗方案的坚持,可能会加剧心血管疾病的结果.
结论:
- 在美国,COVID-19大流行给心血管疾病的预防和管理带来了重大挑战.
- 应对这些挑战需要创新的策略来恢复和增强心血管疾病护理.
- 未来的努力应集中在减轻大流行病的长期心血管后果上.
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