Possible Mechanisms of SARS-CoV2-Mediated Myocardial Injury.

Autor: Yu, Bing, Wu, Yalin, Song, Xiaosu, Liu, Gaizhen, Wang, Fengqin, Zhang, Fenfang, Liang, Bin
Zdroj: Cardiovascular Innovations & Applications (CVIA); 2023, Vol. 8 Issue 1, p1-11, 11p
Abstrakt: Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has rapidly become a global health emergency. In addition to causing respiratory effects, SARS-CoV-2 can result in cardiac involvement leading to myocardial damage, which is increasingly being explored in the literature. Myocardial injury is an important pathogenic feature of COVID-19. The angiotensin-converting enzyme-2 receptor plays a key role in the pathogenesis of the virus, serving as a "bridge" allowing SARS-CoV-2 to invade the body. However, the exact mechanism underlying how SARS-CoV-2 causes myocardial injury remains unclear. This review summarizes the main possible mechanisms of myocardial injury in patients with COVID-19, including direct myocardial cell injury, microvascular dysfunction, cytokine responses and systemic inflammation, hypoxemia, stress responses, and drug-induced myocardial injury. Understanding of the underlying mechanisms would aid in proper identification and treatment of myocardial injury in patients with COVID-19. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index