Clin Res Cardiol:COVID-19对中国心血管代谢性疾病患病率的影响

2021-04-09 MedSci原创 MedSci原创

多项研究显示,心血管代谢性合并症的患者对COVID-19更易感,且感染程度更重。鉴于2019-nCoV的快速传播,亟需整合已发表的研究进行更新的、样本量更大的荟萃分析,以确定心血管代谢性疾病与COVI

多项研究显示,血管代谢性合并症的患者对COVID-19更易感,且感染程度更重。鉴于2019-nCoV的快速传播,亟需整合已发表的研究进行更新的、样本量更大的荟萃分析,以确定心血管代谢性疾病与COVID-19发病的关系,结果已发表于Clin Res Cardiol。

研究人员检索了Embase和PubMed数据库,纳入总结了COVID-19的心血管代谢性疾病的发生率,并比较了ICU/重症和非ICU/重症患者的合并症发生率的研究。

 

本次荟萃分析共纳入6项研究,包括1527名患者。分析结果显示,COVID-19患者中高血压、心脑血管疾病和糖尿病的比例分别为17.1%、16.4%和9.7%。ICU/重症病例的高血压、心脑血管疾病和糖尿病的发生率分别较非ICU/重症病例高约2倍、3倍和2倍。至少有8.0%的COVID-19患者发生过急性心脏损伤。与非ICU/严重患者相比,ICU/严重患者急性心脏损伤的发生率高出约13倍。

综上所述,该荟萃分析结果表明,既往有心血管代谢性疾病的患者感染COVID-19的风险更大,更易发展为重症,合并症也会大大影响COVID-19的预后。另一方面,COVID-19又会反过来加重患者心脏的损害。

 

原始出处:

 

Bo Li, et al., Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China.Clin Res Cardiol. 2020 May;109(5):531-538. doi: 10.1007/s00392-020-01626-9. Epub 2020 Mar 11.

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    2022-03-09 sodoo
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    2021-04-12 ms3000000218433175

    已学习

    0

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    2021-04-09 ms5000000892437705

    感谢好文!

    0

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