COVID-19 and Cardiovascular Disease

Circulation Research - Tập 128 Số 8 - Trang 1214-1236 - 2021
Mina K. Chung1,2, David A. Zidar3,4, Michael R. Bristow5, Scott J. Cameron1,6,7, Timothy A. Chan1,6,8, Clifford V. Harding9, Deborah Kwon1,6,10, Tamanna Singh1,6,11, John C. Tilton12, Emily J. Tsai13, Nathan R. Tucker14,15, John Barnard6,16, Joseph Loscalzo17
1Case Western Reserve University School of Medicine (M.K.C., D.A.Z., S.J.C., T.C., C.V.H., D.H.K., T.S., J.C.T.), OH.
2Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, 9500 Euclid Ave, J2-2, Cleveland, OH 44195.
3David A. Zidar Case Western Reserve University School of Medicine (M.K.C., D.A.Z., S.J.C., T.C., C.V.H., D.H.K., T.S., J.C.T.), OH. Louis Stokes Cleveland Veterans Affairs Medical Center, OH (D.A.Z.).
4Louis Stokes Cleveland Veterans Affairs Medical Center, OH (D.A.Z.).
5Michael R. Bristow https://orcid.org/0000-0002-8860-4698 University of Colorado Anschutz Medical Center, Aurora (M.R.B.).
6Cleveland Clinic Lerner College of Medicine (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH.
7Scott J. Cameron https://orcid.org/0000-0002-9616-1540 Cleveland Clinic (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH. Cleveland Clinic Lerner College of Medicine (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH. Case Western Reserve University School of Medicine (M.K.C., D.A.Z., S.J.C., T.C., C.V.H., D.H.K., T.S., J.C.T.), OH.
8Timothy Chan Cleveland Clinic (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH. Cleveland Clinic Lerner College of Medicine (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH. Case Western Reserve University School of Medicine (M.K.C., D.A.Z., S.J.C., T.C., C.V.H., D.H.K., T.S., J.C.T.), OH.
9Clifford V. Harding III https://orcid.org/0000-0002-6333-162X Case Western Reserve University School of Medicine (M.K.C., D.A.Z., S.J.C., T.C., C.V.H., D.H.K., T.S., J.C.T.), OH.
10Deborah H. Kwon Cleveland Clinic (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH. Cleveland Clinic Lerner College of Medicine (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH. Case Western Reserve University School of Medicine (M.K.C., D.A.Z., S.J.C., T.C., C.V.H., D.H.K., T.S., J.C.T.), OH.
11Tamanna Singh Cleveland Clinic (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH. Cleveland Clinic Lerner College of Medicine (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH. Case Western Reserve University School of Medicine (M.K.C., D.A.Z., S.J.C., T.C., C.V.H., D.H.K., T.S., J.C.T.), OH.
12John C. Tilton Case Western Reserve University School of Medicine (M.K.C., D.A.Z., S.J.C., T.C., C.V.H., D.H.K., T.S., J.C.T.), OH.
13Emily J. Tsai Columbia University Vagelos College of Physicians and Surgeons, New York (E.J.T.).
14Cardiovascular Disease Initiative, Broad Institute of Harvard and MIT, Boston, MA (N.R.T.).
15Nathan R. Tucker https://orcid.org/0000-0002-5071-4218 Masonic Medical Research Institute, Utica, NY (N.R.T.). Cardiovascular Disease Initiative, Broad Institute of Harvard and MIT, Boston, MA (N.R.T.).
16John Barnard https://orcid.org/0000-0003-2403-8268 Cleveland Clinic (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH. Cleveland Clinic Lerner College of Medicine (M.K.C., S.J.C., T.C., D.H.K., T.S., J.B.), OH.
17Joseph Loscalzo https://orcid.org/0000-0002-1153-8047 Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L.).

Tóm tắt

A pandemic of historic impact, coronavirus disease 2019 (COVID-19) has potential consequences on the cardiovascular health of millions of people who survive infection worldwide. Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2), the etiologic agent of COVID-19, can infect the heart, vascular tissues, and circulating cells through ACE2 (angiotensin-converting enzyme 2), the host cell receptor for the viral spike protein. Acute cardiac injury is a common extrapulmonary manifestation of COVID-19 with potential chronic consequences. This update provides a review of the clinical manifestations of cardiovascular involvement, potential direct SARS-CoV-2 and indirect immune response mechanisms impacting the cardiovascular system, and implications for the management of patients after recovery from acute COVID-19 infection.

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