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  • 标题:A meta-analysis on the role of pre-existing chronic disease in the cardiac complications of SARS-CoV-2 infection
  • 本地全文:下载
  • 作者:Jane E. Sinclair ; Yanshan Zhu ; Gang Xu
  • 期刊名称:iScience
  • 印刷版ISSN:2589-0042
  • 出版年度:2021
  • 卷号:24
  • 期号:4
  • 页码:1-33
  • DOI:10.1016/j.isci.2021.102264
  • 语种:English
  • 出版社:Elsevier
  • 摘要:SummarySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been associated with multiple direct and indirect cardiovascular complications. We sought to analyze the association of host co-morbidities (chronic respiratory illnesses, cardiovascular disease [CVD], hypertension or diabetes mellitus [DM]) with the acute cardiovascular complications associated with SARS-CoV-2 infection. Individual analyses of the majority of studies found median age was higher by ~10 years in patients with cardiovascular complications. Pooled analyses showed development of SARS-CoV-2 cardiovascular complications was significantly increased in patients with chronic respiratory illness (odds ratio (OR): 1.67 [1.48, 1.88]), CVD (OR: 3.37 [2.57, 4.43]), hypertension (OR: 2.68 [2.11, 3.41]), DM (OR: 1.60 [1.31, 1.95]) and male sex (OR: 1.31 [1.21, 1.42]), findings that were mostly conserved during sub-analysis of studies stratified into global geographic regions. Age, chronic respiratory illness, CVD, hypertension, DM, and male sex may represent prognostic factors for the development of cardiovascular complications in COVID-19 disease, highlighting the need for a multidisciplinary approach to chronic disease patient management.Graphical abstractDisplay OmittedHighlights•Older age and male sex associated with increased SARS-CoV-2 cardiac complication risk•Chronic illnesses associated with increased SARS-CoV-2 cardiac complication risk•These associations were mostly conserved over differing geographical regions•Multidisciplinary approaches to chronic disease patient management are essentialVirology; Omics
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