长期COVID心肌炎:发生率,机制,临床影响和管理

Anjaneyulu Dunde¹, Pankti Maniyar², Nancy Vora³

¹From the Department of Hospital Medicine, Baptist Medical Center South, Montgomery, AL.

Cardiology in review

|March 4, 2026

概括

长期的COVID可能会导致心肌炎,一种心脏炎症,比以前更频繁. 潜在的原因包括持续的病毒元素和免疫反应,需要仔细管理和运动限制.

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
免疫学免疫学免疫学

背景情况:

长期COVID (SARS-CoV-2感染的急性后续症状) 在感染后呈现持续的健康问题.
包括心肌炎在内的心脏并发症是已知的后果,即使是在轻度急性COVID-19之后.
了解长期COVID中的心肌炎对于患者的治疗结果至关重要.

研究的目的:

综合关于长期COVID中心肌炎的当前文献 (2022-2025年).
分析发病率,病理生理学,临床特征,诊断,管理和预后.
确定后COVID心肌炎的未来研究方向.

主要方法:

对2022年至2025年间发表的研究进行系统文献综述.
专注于详细介绍长期COVID患者心肌炎的研究.
综合与发病率,机制,临床表现,诊断,管理和预后相关的发现.

主要成果:

后COVID心肌炎是不常见的,但发生的频率比大流行前更高.
假设的机制包括持续的病毒存在,免疫媒介损伤,自身免疫和内皮功能障碍.
临床表现不同,从典型的心肌炎症状到疲劳和运动不耐受.

结论:

肌心炎是长期COVID的显著心脏并发症,具有多因素的起源.
管理是支持性的,包括运动限制,心力衰竭疗法和抗炎/免疫抑制剂.
需要进一步的研究,以充分阐明长期COVID心肌炎的机制和优化治疗策略.

关键词:

在 COVID-19 疫情中,肌性心肌炎是一种心肌炎.病理生理学病理生理学治疗方法治疗方法

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