长期COVID-19期间心血管疾病的实用研究
James F Howick1, Petar Saric2, Mohamed Elwazir2
1Department of Internal Medicine.
The American journal of medicine
|March 28, 2024
概括
在COVID-19感染后持续的心血管症状在接受心脏评估的患者中不常见. 客观心脏异常很少被发现,这表明需要多学科的症状管理,而不是广泛的心脏检测.
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:
- 许多患者在COVID-19后经历了持续的心血管症状.
- 这些长期COVID症状的心脏起源尚不清楚.
- 这项研究调查了长期COVID症状患者的客观心脏异常.
研究的目的:
- 评估长期COVID症状与客观心脏检测异常之间的关联.
- 确定COVID-19后心血管症状持续的患者心脏异常的发病率和病因.
主要方法:
- 对40462名COVID-19患者进行了回顾性队列研究.
- 确定了363名患有持续性心血管症状的患者,感染后超过4周.
- 分析心脏检测结果并根据COVID-19变种进行分类.
主要成果:
- 只有23.4%的长期COVID患者有与心脏病相关的症状.
- 在10.7%的患者中发现了新的心脏病.
- 肌心炎,节律障碍,心膜炎和自主功能障碍在一个小部分群体中被观察到.
结论:
- 患有长期COVID症状的患者被转诊进行心脏评估,很少出现新的客观心血管疾病.
- 建议在症状管理中采用以患者为中心的多学科方法.
- 建议谨慎使用诊断性心脏检测.
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