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Cardiovascular injuries and SARS-COV-2 infection:focus on elderly people

Journal of Geriatric Cardiology 2021年第7期18卷 534-548页

作者： Claudia Colombo Laura Garatti Giulia Ferrante Francesca Casadei Claudio Montalto Gabriele Crimi Chiara Cogliati Enrico Ammirati Stefano Savonitto Nuccia Morici Department of Cardiology De Gasperis Cardio Center ASST Grande Ospedale Metropolitano NiguardaMilanItaly School of Medicine and Surgery University of Milano BicoccaItaly Division of Cardiology Heart and Lung DepartmentSan Paolo HospitalASST Santi Paolo and CarloUniversity of MilanItaly Division of Cardiology University of PaviaPaviaLombardiaItaly Interventional Cardiology Unit Cardio Thoraco Vascular Department(DICATOV)IR-CCS Policlinico San MartinoGenovaItaly Internal Medicine Department of Medicine and RiabilitationASST Fatebenefratelli-SaccoLuigi Sacco HospitalMilanItaly De Gasperis Cardio Center and Transplant Center Niguarda HospitalMilanItaly Division of Cardiology Ospedale ManzoniLeccoItaly

The novel coronavirus disease(COVID-19)has hit the healthcare system worldwide.The risk of severe infection and mortality increases with advancing age,especially in subjects with comorbidities such as cardiovascular disease,hypertension,diabetes,obesity and cancer.Moreover,cardiovascular complications such as myocardial injury,heart failure and thromboembolism are frequently observed in COVID-19 cases,and several biomarkers(troponin,NTpro BNP and D-Dimer)have been identified as prognostic indicators of disease severity and worst outcome.Currently,there is no specific therapy against SARS-Co V-2,although many medications are under investigation.The aim of this review will be to explore the intertwined relationship between COVID-19 disease and the cardiovascular system,focusing on elderly population.The available supportive treatments along with the related concerns in elderly patients,due to their comorbidities and polypharmacotherapy,will be explored.

关键词： injuries cardiovascular infection

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