心血管疾病作为后COVID综合征的风险因素:系统性审查
Nur Insyirah Sha'ari1, Aniza Ismail2,3, Aznida Firzah Abdul Aziz4
1Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras Campus, Bandar Tun Razak, Cheras, Kuala Lumpur, 56000, Malaysia.
预先存在心血管疾病 (CVD) 的个人在COVID-19感染后面临患上后COVID综合征 (PCS) 的风险更高. 在COVID-19幸存者中早期对心血管疾病的查对于更好的患者结果至关重要.
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:
- 后COVID综合征 (PCS) 影响了大量的COVID-19幸存者,症状持续超过12周.
- 预先存在的心血管疾病 (CVD) 是可疑的PCS风险因素,需要根据最近的数据进行进一步调查.
研究的目的:
- 确定心血管疾病 (CVD) 作为COVID-19幸存者的后COVID综合征 (PCS) 发展的危险因素.
- 综合目前关于心血管疾病和PCS之间关联的证据.
主要方法:
- 在PubMed,Scopus和Web of Science数据库中进行系统的文献搜索,截至2023年6月.
- 包括英语观察性研究,重点是成人 (≥18岁) 报告CVD和PCS之间的关联.
- 独立的选,选择,数据提取,综合和质量评估 (纽卡斯尔-太华尺度),至少由两位作者进行.
主要成果:
- 在选594篇独特文章后,包括了11项研究.
- 以前存在的心血管疾病,包括高血压 (6项研究) 和心力衰竭 (3项研究),与PCS发展有显著的关联.
- 包括的研究被评为具有中等到高的方法质量.
结论:
- 患有先前存在的心血管疾病的COVID-19幸存者表现出患PCS的风险大幅增加.
- 诸如心力衰竭和高血压等疾病与PCS风险增加有关,这凸显了全面查和管理策略的必要性.
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