摘要
新型冠状病毒(新冠病毒)感染已被证实可累及全身多个系统,其中心血管系统受累很常见。为帮助临床医师合理诊治新冠病毒感染相关心血管问题,共识组建议:(1)对于因新冠病毒感染住院或有心脏相关症状的患者,应常规检测心肌肌钙蛋白,以评估心肌损伤,判断有无心脏并发症;非心脏原因所致心肌损伤的患者预后较差;(2)新冠病毒感染相关急性心肌炎较为罕见,对怀疑心肌炎的患者应根据危险分层进行诊治;(3)新冠病毒感染可增加心血管事件风险,所有新冠病毒感染患者应更加严格遵循健康生活方式,接受规范的心血管疾病一级或二级预防;(4)新冠病毒感染后3个月时有持续心脏相关症状或新发相关症状,且至少持续2个月,但心血管相关检查未见异常,可考虑为“新冠病毒感染后状态”,此类患者应以康复治疗为主。
Evidence shows that coronavirus disease 2019(COVID-19) can impact multiple bodily systems, with the cardiovascular system being commonly affected. In order to guide healthcare providers in diagnosing and managing cardiovascular issues related to COVID-19, the consensus group recommends:(1) Routine cardiac troponin testing is necessary for patients who are hospitalized or exhibit symptoms related to heart conditions after severe acute respiratory syndrome coronavirus 2(SARSCoV-2) infection to evaluate potential myocardial injury and help detect any cardiac complications. Patients with myocardial injury not related to heart issues tend to have a poorer outcome.(2) Relatively few cases of acute myocarditis linked to COVID-19 have been reported, and individuals suspected of having myocarditis should be evaluated and managed based on risk stratification.(3) COVID-19 infection should be considered a risk factor for increasing the incidence of cardiovascular disease. All individuals who have been infected should adhere to a healthy lifestyle more strictly and implement appropriate primary or secondary preventive measures for cardiovascular disease.(4) For individuals who experience the persistence or emergence of new symptoms 3 months after the initial SARS-CoV-2 infection and have been experiencing these symptoms for at least 2 months, with no clear diagnosis of a cardiovascular disease through standard diagnostic tests, it is advisable to consider the possibility of "post COVID-19 condition". Rehabilitation should be given top priority for these patients.
出处
《中国循环杂志》
CSCD
北大核心
2023年第2期105-115,共11页
Chinese Circulation Journal
基金
国家重点研发计划(2020YFC2008100)。
