作者：韦吉伟，张景昌

单位：

1.广西壮族自治区南宁市第二人民医院门诊部2.广西壮族自治区南宁市第二人民医院心血管内科

单位（英文）：

1.Department of Outpatient, the Second Nanning People's Hospital, Nanning 530031, China 2.Department of Cardiology, the Second Nanning People's Hospital, Nanning 530031, China

关键词：

新型冠状病毒感染; 急性冠状动脉综合征; 心律失常; 心肌炎; 心力衰竭; 高血压;

关键词（英文）：

COVID-19; Acute coronary syndrome; Cardiac dysrhythmia; Myocarditis; Heart failure; Hypertension

中图分类号：

　R 563.12　

DOI：

10.12114/j.issn.1008-5971.2023.00.136

基金项目：

摘要：

COVID-19患者可表现出多种临床症状，并可能合并不同的心血管系统疾病。根据COVID-19患者的心血管症状，及早诊断和实施有针对性的治疗措施对于降低其死亡率至关重要。目前人们对COVID-19和心血管系统疾病之间相互作用的认识尚不充足。本文归纳了COVID-19导致急性冠脉综合征、心律失常、心肌炎、心力衰竭、高血压的机制和临床表现，并对COVID-19合并相关心血管系统疾病的诊疗方法进行了讨论和总结，以期帮助临床医生了解COVID-19在心血管系统损伤方面的潜在风险，并为COVID-19相关心血管系统疾病的诊断和治疗提供重要参考。

英文摘要：

COVID-19 patients may show a variety of clinical symptoms and complicated with different cardiovascular diseases. According to the cardiovascular symptoms of COVID-19 patients, early diagnosis and targeted treatment measures are essential to reduce the mortality of patients. At present, there is insufficient understanding of the interaction between COVID-19 and cardiovascular system diseases. This review summarizes the mechanism and clinical manifestations of acute coronary syndrome, arrhythmia, myocarditis, heart failure and hypertension caused by COVID-19, and discusses the diagnosis and treatment of COVID-19 complicated with related cardiovascular diseases in order to help clinicians understand the potential risk of cardiovascular system damage caused by COVID-19, and provide important reference for the diagnosis and treatment of cardiovascular diseases related to COVID-19.

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