长期COVID的心肺特征:从分子和组织病理特征到临床影响
Giovanni Cimmino1,2, Saverio D'Elia1,3, Mariarosaria Morello2
1Cardiology Unit, AOU Luigi Vanvitelli, 80138 Naples, Italy.
International journal of molecular sciences
|August 28, 2025
概括
由于炎症和凝血,长期COVID会导致持续的心血管和肺部问题. 使用分子标记的早期诊断是治疗这些慢性病毒后并发症的关键.
科学领域:
- 心脏病学
- 肺病学
- 传染性疾病
- 免疫学
背景情况:
- 长期COVID是一种影响心血管和肺系统的持续性后病毒综合征.
- 慢性变化包括内皮功能障碍,微血管炎症和潜在的病毒在组织中的持久性.
- 持续的炎症 (例如,升高的IL-6) 和血小板高反应性促进前血栓状态.
研究的目的:
- 调查长期COVID心肺病变的分子和组织病理机制.
- 强调需要改进的诊断策略,整合基于分子和组织的标记物.
- 强调早期诊断和跨学科治疗慢性并发症的重要性.
主要方法:
- 对SARS-CoV-2感染后慢性变化的新兴证据的审查.
- 分析分子机制,包括细胞因子和血小板活动.
- 分子发现与临床表现和诊断成像 (心脏MRI) 和活检发现的相关性.
主要成果:
- 涉及微血管损伤,心脏压力和气体交换障碍的机制.
- 临床表现包括疲劳,呼吸困难,胸部不适以及运动能力下降.
- 即使在非住院患者中,也观察到心肌炎症和自主调节障碍等亚临床心血管变化.
结论:
- 持续的炎症和血栓活动是长期COVID心肺病的关键特征.
- 分子和基于组织的诊断对于风险分层和有针对性的干预至关重要.
- 由于肺纤维化和心脏功能障碍的相互依赖,多学科护理是必不可少的.
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