在COVID-19中心血管损伤的致病机制
Hong-Hua Shao1, Rui-Xing Yin2,3
1Department of Infectious Diseases, HIV/AIDS Clinical Treatment Center of Guangxi (Nanning), The Fourth People's Hospital of Nanning, No. 1 Erli, Changgang Road, Nanning, Guangxi, 530023, People's Republic of China.
Molecular medicine (Cambridge, Mass.)
|June 19, 2024
概括
COVID-19 (冠状病毒疾病2019) 通常会导致心血管损伤,包括心肌炎和高血压. 机制包括直接的SARS-CoV-2影响和免疫过度反应,影响患者的预后.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 病理生理学 病理生理学
背景情况:
- 由SARS-CoV-2引起的COVID-19是一种全球性流行病,除了呼吸道症状之外,其临床表现也多样化.
- 心血管损伤是COVID-19患者中观察到的一个显著,往往严重的并发症.
研究的目的:
- 审查COVID-19中心血管损伤背后的致病机制.
- 为改善临床诊断,治疗和预防策略提供见解.
主要方法:
- 在PubMed和Web of Science数据库中进行全面的文献搜索,截至2024年4月.
- 包括诸如"COVID-19"",SARS-CoV-2"",心血管损伤"",心肌炎"",心力衰竭"等关键词.
- 综合精选的医学文献,重点关注心血管并发症.
主要成果:
- 常见的心血管问题包括心肌炎,高血压,心律失常,心肌损伤,心力衰竭和冠心病.
- 确定的主要致病机制是直接的病毒细胞毒性和对SARS-CoV-2的间接超免疫反应.
结论:
- 心血管损伤在COVID-19中很普遍,并且与患者的治疗结果较差有关.
- 虽然机制尚未完全阐明,但直接的病毒影响和夸张的免疫反应是主要的贡献者.
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