Damage to the cardiovascular system in COVID-19

Prof. O.M. Korzh

Kharkiv Medical Academy of Postgraduate Education

COVID-19 affects not only the respiratory system, but also the cardiovascular system. The damage to the cardiovascular system in COVID-19 is multifactorial and several mechanisms are involved, including direct invasion, inflammation, thrombosis, autoantibody synthesis, and oxygen imbalance. The inflammation causes the release of cytokines, especially interleukin-6, and damage to cardiomyocytes. The overproduction of cytokines leads to an abnormal inflammatory response called a cytokine storm, which is believed to be the culprit in cardiovascular events in COVID-19 patients. Treatment of COVID-19 patients with cardiovascular complications is mostly supportive. The role of pharmacological blocking of the renin-angiotensin-aldosterone system in patients with cardiovascular disease and COVID-19 infection requires further research as the relationship appears to be very complex. To date, professional cardiological societies do not recommend canceling ACE inhibitors or agiotensin II receptor antagonists for patients taking these drugs for other indications. Special care should be taken about the potential cardiovascular side effects of the various therapies used to treat viral infections. When using them, daily monitoring of the QT interval on the ECG is proposed.

Key Words: COVID-19, pandemic, myocardial injury, cardiovascular disease

https://dx.doi.org/10.15407/internalmed2021.01.010

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For citing:

1. Корж, А.Н. Поражение сердечно-сосудистой системы при COVID-19// Східноєвропейський журнал внутрішньої та сімейної медицини. – 2021. – №1. – С. 10-16. doi: 10.15407/internalmed2021.01.010

2. Korzh OM. [Damage to the cardiovascular system in COVID-19]. Shidnoevr. z. vnutr. simejnoi med. 2021;1:10-16. Russian. doi: 10.15407/internalmed2021.01.010

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