在有症状的SARS-CoV-2感染幸存者的心血管后果
Grzegorz Skonieczny1, Marta Skowrońska2, Agnieszka Dolacińska3
1Cardiology Department and Intensive Cardiac Unit, Provincial Polyclinical Hospital, Torun, Poland.
COVID-19 感染可能会导致持续的心血管问题,特别是在严重的病例中. 随访评估显示了持续的症状和微妙的心脏异常,突出显示了感染后需要结构化心脏护理的需要.
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:
- SARS-CoV-2 感染与心肌和内皮损伤有关.
- 鉴定COVID-19症状后心血管后果对于患者管理至关重要.
研究的目的:
- 在门诊患者中评估COVID后心血管症状.
- 在患有严重COVID-19的患者中识别长期异常.
主要方法:
- 在COVID-19后对914名门诊患者进行了观察性,横截面研究.
- 基于COVID-19初始严重程度 (住院治疗,机械通风) 的分析.
- 随访包括心声回声和运动跑步机测试.
主要成果:
- 大多数患者 (96.5%) 报告呼吸不全,胸痛或疲劳等持续症状.
- 住院患者的肺加速时间和三回压力梯度发生了变化.
- 与较温和的病例相比,在更严重的COVID-19病例中注意到运动耐受性降低.
结论:
- 在随访时,COVID-19的严重程度与心血管变化相关.
- 运动跑步机测试和心声回声扫描有助于识别需要心脏护理的患者.
- 结构化的心血管随访对COVID-19后的患者是有益的.
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