COVID-19 AND EFFECTS ON THE CARDIOVASCULAR SYSTEM
Journal Title: Kocatepe Medical Journal - Year 2024, Vol 25, Issue 2
Abstract
Coronavirus Disease 2019 (COVID-19), which emerged at the end of 2019 and became a global pandemic, is not only a respiratory disease, but also affects other systems. The most important reason for this is the ability of the virus to bind to the angiotensin converting enzyme-2 (ACE2) receptor.The cardiovascular system is one of the main systems that are directly or indirectly affected by COVID-19. Regardless of respiratory symptoms, patients can be diagnosed with COVID-19 by applying to the hospital with complaints such as chest pain and palpitation. Also in the course of COVID-19 cardiological such as arrhythmia, acute coronary syndrome, myocarditis, heart failure; vascular effect patterns such as venous thromboembolism may also be seen. Worse outcomes are generally encountered when cardiovascular system involvement accompanies the course of COVID-19. Another aspect of the relationship between SARS-CoV-2 infection and the cardiovascular system is that the underlying cardiovascular system diseases adversely affect the prognosis of COVID-19. In the presence of conditions such as underlying hypertension, coronary artery disease, and heart failure, patients' exposure to COVID-19 results much worse. Unfortunately, it is reported that this cardiovascular system involvement is also observed in the "Prolonged COVID-19" period, which continues after the COVID-19. The frequency and duration of symptoms and signs vary in prolonged cases of COVID-19. Prolonged COVID-19 is characterized as alarming because of its widespread monitoring and long duration. In addition, after the introduction of mRNA vaccines, there has been an increase in vaccine-related myocarditis and pericarditis cases, especially in young men. However, this increase is at a very low rate compared to myocarditis and pericarditis cases due to the disease, and it has been determined that it is much safer in terms of mortality. In this review, it is aimed to evaluate the effect of COVID-19 and COVID-19 vaccines on the cardiovascular system and to present a holistic perspective to the clinicians who follow these patients.
Authors and Affiliations
Fatma Yekta ÜRKMEZ, Esra POLAT
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