孟加拉国COVID-19患者的心血管影响:一个跨部门研究
Abed H Khan1, Md Mizanur Rahman Khan1, Shohael Mahmud Arafat1
1Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, BGD.
Cureus
|January 1, 2026
概括
心血管并发症经常发生在孟加拉国住院的COVID-19患者中,即使没有先前的心脏病. 这凸显了在COVID-19感染期间和感染后需要进行心脏评估的必要性,无论基线风险如何.
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:
- 冠状病毒疾病2019 (COVID-19) 与严重的心血管问题有关.
- 在没有先前存在心脏病的个体中,特别是低收入和中等收入国家 (LMICs) 的COVID-19对心脏影响的研究是有限的.
研究的目的:
- 确定孟加拉国没有先前心脏病的住院COVID-19患者新发心血管并发症的患病率,临床特征和相关因素.
主要方法:
- 在2022年2月至7月期间,班加邦杜谢赫穆吉布医学大学 (BSMMU) 进行了一项横截面观察研究.
- 包括确诊COVID-19且没有心血管病史的成年患者.
- 收集的数据包括临床信息,实验室结果和心电图/心声图的发现. 多变量后勤回归分析了人口统计学关联.
主要成果:
- 在182名患者中,31.9%患有新发的心血管并发症,包括高血压,缺血性心脏病,心肌梗塞,心力衰竭,心律失常和心肌病变.
- 这些事件发生在所有COVID-19严重程度.
- 心血管并发症与年龄,性别或吸烟状况之间没有发现显著的关联.
结论:
- 在孟加拉国COVID-19患者中,心血管并发症很普遍,包括没有先前心脏病的年轻人.
- 在COVID-19感染期间和后进行主动心脏评估对所有患者至关重要,无论他们的基线心血管风险如何.
相关概念视频
01:23Assessment of the Cardiovascular System I: Subjective Data
735
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
735
01:26Coronary Artery Disease IV: Preventive Measures
564
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
564
01:20Blood Studies for Cardiovascular System I: Cardiac Biomarkers
749
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
749
01:20Exercise and Cardiovascular Response
3.8K
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
3.8K
01:30Coronary Artery Disease III: Clinical Manifestations
299
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
299
01:29Cardiomyopathy III: Hypertrophic Cardiomyopathy
360
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
360