Occurrence of cardiovascular complications associated with SARS-CoV-2 infection: a systematic review

Sardinha, Daniele Melo; Lima, Karla Valéria Batista; Ueno, Thalyta Mariany Rêgo Lopes; Rodrigues, Yan Corrêa; Garcez, Juliana Conceição Dias; Santos, Anderson Lineu Siqueira dos; Ferreira, Ana Lúcia da Silva; Guimarães, Ricardo José de Paula Souza e; Lima, Luana Nepomuceno Gondim Costa

doi:10.1101/2020.11.14.20231803

“…Incidence of arrythmias ranged from 1.8% to 26% in hospitalized COVID-19 patients [ 21 22 23 24 25 26 27 28 29 ], while an incidence of 33% to 48% was reported in severe disease [ 21 25 26 29 30 ]. Newly occurring arrhythmias in COVID-19 patients predicted severe disease and/or mortality [ 21 25 30 31 32 33 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Newly occurring arrhythmias in COVID-19 patients predicted severe disease and/or mortality [ 21 25 30 31 32 33 34 ]. The most reported arrhythmias were ventricular arrhythmias (ventricular tachycardia, ventricular fibrillation) [ 24 29 ], and atrial arrhythmias (atrial fibrillation, atrial flutter) [ 24 27 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…Newly occurring arrhythmias in COVID-19 patients predicted severe disease and/or mortality [21,25,[30][31][32][33][34]. The most reported arrhythmias were ventricular arrhythmias (ventricular tachycardia, ventricular fibrillation) [24,29], and atrial arrhythmias (atrial fibrillation, atrial flutter) [24,27,29]. Ten studies aimed to report on the cardiac adverse events due to pharmacological treatment for COVID-19 and gave inconsistent results [35][36][37][38][39][40][41][42][43][44].…”

Section: ) What Is the Involvement Of The Cardiac System In Adult Patients Diagnosed With Covid-19mentioning

confidence: 99%

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Cardiac Manifestations in Patients with COVID-19: A Scoping Review

Peiris

¹

,

Ordúñez

²

,

DiPette

³

et al. 2022

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Background: Coronavirus disease 2019 , commonly affects the lungs, but the involvement of other organs, particularly the heart, is highly prevalent as has been reported in several studies. The overall aim of this review was to provide an in-depth description of the available literature related to the cardiac system and COVID-19 infection. It focuses on type and the frequency of cardiac manifestations, clinical parameters and cardiac biomarkers that support the prognosis of COVID-19 patients, and the cardiac adverse events and outcomes related to pharmacotherapy.Methods: A scoping review was conducted searching Embase, PubMed, Epistomonikos, Medrxiv, BioRxiv databases, up to November 2020, for systematic reviews relevant to cardiac manifestations in adult COVID-19 patients. Relevant articles were screened and extracted to summarize key outcomes and findings.Results: A total of 63 systematic reviews met the inclusion criteria. The overall frequency of acute cardiac injury ranged from 15% to 33% in the reporting studies. The main cardiac complications were arrhythmias (3.1% to 6.9% in non-severe patients, 33.0% to 48.0% in severe disease), acute coronary syndromes (6% to 33% in severe disease), and myocarditis. Most studies found no association with the use of Reninangiotensin-aldosterone system inhibitors (RAASI) with COVID-19 outcomes such as susceptibility to infection, hospitalization, severity, and mortality. Conclusion:This study provided an overview of the several cardiac complications associated with Covid-19. Cardiac injury, arrhythmias, myocarditis, cardiac failure, and acute coronary syndrome, are prevalent and clinically significant and associated with COVID-19 disease severity and mortality. Other studies are needed to clearly identify what is the part of viral heart infection and what is the part of cardiac injury secondary to acute respiratory failure and inflammation. In the therapeutic field, these systematic reviews gave heterogenous results. This underlines the importance of randomized trials to determine the right therapeutic approach. 2 Peiris et al.

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“…O aumento do D-dímero, tempo de protrombina, agregados de plaquetas, macroplaquetas, ferritina e proteína C reativa mostram que a gravidade já está instalada, a partir da tempestade de citocinas inflamatórias e estado hipercoagulável, sendo essas alterações associadas as maiores chances de internação em unidade de terapia intensiva e morte (MAIESE et al, 2020;RODRIGUEZ-MORALES et al, 2020). O estado hipercoagulável ocasiona complicações cardiovasculares fatais, como evidenciado em uma revisão sistemática, que mostrou a ocorrência dos eventos cardiovasculares nos casos graves da COVID-19, Lesão cardíaca aguda 17,09%; Tromboembolismo 4,73%; Insuficiência cardíaca 3,43%; Arritmias 1,77%; Acidente Vascular Cerebral 0,33%, com idade média de 61 anos (SARDINHA et al, 2021b).…”

Section: Discussionunclassified

Uma Revisão Integrativa da Hipertensão Arterial Sistêmica e Diabetes Mellitus na Potencialidade da Gravidade e Letalidade na Covid-19

Sardinha¹,

Cabral²,

Macias³

et al. 2021

Teoria E Prática: Reflexões Sobre as Ciências Da Saúde

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0

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As an adult, the population are prone to have a higher blood pressure. According to the world health organization (2020), cardiovascular diseases, are the major death causes in the world constituting 31% of the world deaths. Incorporating this context, the objective of this study is to verifying the prevalence of arterial hypertension in adults in a basic health Unit with a view to contribute to a better knowledge of the pathology and complications. This is a descriptive study -analytic, of quantitative character. For data collection, initially, the individuals approached were clearly presented to the objectives proposed by the study, upon authorization, the method of applying a questionnaire without identification was used with direct questions, in order to survey the following variables: sex, race, associated diseases, stress, obesity, medication use, smoking and arterial hypertension. According to the results the majority of this study are black (58%), woman (66%) with age between 40 and 49 years (66%), are hypertensives (86%) and characterize stress as a factor associated with increased pressure (82%). It's possible to conclude, that hypertension is characterized as a public health problem, should be seen as a priority to the government to be worked on. It is important to pay bigger attention to contributing factors, implementing educational programs aimed at raising awareness, clarification and monitoring of blood pressure levels in the population, so that it can minimize these problems and have favorable long-term effects.

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Elaboração e Implementação de Políticas de Prevenção e Controle em Serviços de Saúde: Hierarquia de Controles

Carvalho¹,

Salha²,

Torres³

2021

Teoria E Prática: Reflexões Sobre as Ciências Da Saúde

0

View full text Add to dashboard Cite

As an adult, the population are prone to have a higher blood pressure. According to the world health organization (2020), cardiovascular diseases, are the major death causes in the world constituting 31% of the world deaths. Incorporating this context, the objective of this study is to verifying the prevalence of arterial hypertension in adults in a basic health Unit with a view to contribute to a better knowledge of the pathology and complications. This is a descriptive study -analytic, of quantitative character. For data collection, initially, the individuals approached were clearly presented to the objectives proposed by the study, upon authorization, the method of applying a questionnaire without identification was used with direct questions, in order to survey the following variables: sex, race, associated diseases, stress, obesity, medication use, smoking and arterial hypertension. According to the results the majority of this study are black (58%), woman (66%) with age between 40 and 49 years (66%), are hypertensives (86%) and characterize stress as a factor associated with increased pressure (82%). It's possible to conclude, that hypertension is characterized as a public health problem, should be seen as a priority to the government to be worked on. It is important to pay bigger attention to contributing factors, implementing educational programs aimed at raising awareness, clarification and monitoring of blood pressure levels in the population, so that it can minimize these problems and have favorable long-term effects.

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Occurrence of cardiovascular complications associated with SARS-CoV-2 infection: a systematic review

Cited by 3 publications

References 42 publications

Cardiac Manifestations in Patients with COVID-19: A Scoping Review

Cardiac Manifestations in Patients with COVID-19: A Scoping Review

Uma Revisão Integrativa da Hipertensão Arterial Sistêmica e Diabetes Mellitus na Potencialidade da Gravidade e Letalidade na Covid-19

Elaboração e Implementação de Políticas de Prevenção e Controle em Serviços de Saúde: Hierarquia de Controles

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