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Inicio Medicina Clínica (English Edition) The heart and SARS-CoV-2
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Vol. 159. Issue 9.
Pages 440-446 (November 2022)
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Vol. 159. Issue 9.
Pages 440-446 (November 2022)
Review
The heart and SARS-CoV-2
Corazón y SARS-CoV-2
Visits
40
David González-Calle, Rocío Eiros, Pedro L. Sánchez
Corresponding author
pedrolsanchez@secardiologia.es

Corresponding author.
Servicio de Cardiología, Hospital Universitario de Salamanca, Instituto de Investigación Biomédica de Salamanca (IBSAL), CIBERCV, Universidad de Salamanca, Salamanca, Spain
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Abstract

SARS-Cov2 is currently causing a persistent Covid-19 pandemic, which poses a risk of causing long-term cardiovascular sequels in the population. The viral mechanism of cell infection through the angiotensin 2 converter enzyme receptor and the limited antiviral innate immune response are the suspected causes for a more frequent cardiovascular damage in SARS-Cov2 infection. Knowledge of: the appearance during acute infection of other cardiac conditions beyond the classical myocarditis and pericarditis), the long-term cardiac manifestations (persistent Covid-19), and the increased incidence of myocarditis and pericarditis after vaccination; it is of special interest in order to offer our patients best practices based on current scientific evidence.

Keywords:
SARS-CoV-2
COVID-19
Persistent COVID
COVID-19 vaccine
Cardiovascular manifestations
Resumen

El SARS-Cov2 está causando actualmente una pandemia sostenida de Covid-19, con el riesgo de causar secuelas cardíacas a largo plazo en la población. El temor que el SARS-Cov2 cause un daño miocárdico mayor que otros virus convencionales se basa en su mecanismo de infección de células humanas a través del receptor de la enzima convertidora de la angiotensina 2 y las defensas antivirales innatas hasta ahora reducidas contra un nuevo virus. El conocimiento de: la aparición durante la infección aguda de otras afectaciones cardiacas además de las clásicas miocarditis y pericarditis, las manifestaciones cardiacas observadas a largo plazo (Covid-19 persistente) y, la incidencia incrementada de miocarditis y pericarditis tras la vacunación; resulta de especial interés a fin de ofrecer a nuestros pacientes la mejor atención posible basada en la evidencia científica actual.

Palabras clave:
SARS-CoV-2
COVID-19
COVID persistente
Vacunación COVID-19
Afectación cardiovascular

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