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Grzegorowska O, Lorkowski J. Possible Correlations between Atherosclerosis, Acute Coronary Syndromes and COVID-19. J Clin Med. 2020;9(11)doi: 10.3390/jcm9113746.
Grzegorowska, O., & Lorkowski, J. (2020). Possible Correlations between Atherosclerosis, Acute Coronary Syndromes and COVID-19. Journal of clinical medicine, 9(11), . https://doi.org/10.3390/jcm9113746
Grzegorowska, Oliwia, and Lorkowski, Jacek. "Possible Correlations between Atherosclerosis, Acute Coronary Syndromes and COVID-19." Journal of clinical medicine vol. 9,11 (2020). doi: https://doi.org/10.3390/jcm9113746
Grzegorowska O, Lorkowski J. Possible Correlations between Atherosclerosis, Acute Coronary Syndromes and COVID-19. J Clin Med. 2020 Nov 21;9(11). doi: 10.3390/jcm9113746. PMID: 33233333; PMCID: PMC7700642.
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J Clin Med. 2020 Nov 21;9(11). doi: 10.3390/jcm9113746.

Possible Correlations between Atherosclerosis, Acute Coronary Syndromes and COVID-19.

Journal of clinical medicine

Oliwia Grzegorowska, Jacek Lorkowski

Affiliations

  1. Department of Cardiology, Independent Public Regional Hospital, 71-455 Szczecin, Poland.
  2. Department of Orthopaedic and Traumatology, Central Clinical Hospital of Ministry of Interior, 02-507 Warsaw, Poland.
  3. Faculty of Health Sciences, Medical University of Mazovia, 01-793 Warsaw, Poland.

PMID: 33233333 PMCID: PMC7700642 DOI: 10.3390/jcm9113746

Abstract

An outbreak of SARS-CoV-2 infection in December 2019 became a major global concern in 2020. Since then, several articles analyzing the course, complications and mechanisms of the infection have appeared. However, there are very few papers explaining the possible correlations between COVID-19, atherosclerosis and acute coronary syndromes. We performed an analysis of PubMed, Cochrane, Google Scholar, and MEDLINE databases. As of September 15, 2020, the results were as follows: for "COVID-19" and "cardiovascular system" we obtained 687 results; for "COVID-19" and "myocardial infarction" together with "COVID-19" and "acute coronary syndrome" we obtained 328 results; for "COVID-19" and "atherosclerosis" we obtained 57 results. Some of them did not fulfill the search criteria or concerned the field of neurology. Only articles written in English, German and Polish were analyzed for a total number of 432 papers. While the link between inflammatory response, COVID- 19 and atherosclerosis still remains unclear, there is evidence that suggests a more likely correlation between them. Practitioners' efforts should be focused on the prevention of excessive inflammatory response and possible complications, while there are limited specific therapeutic options against SARS-CoV-2. Furthermore, special attention should be paid to cardioprotection during the pandemic.

Keywords: COVID-19; SARS-CoV-2; acute coronary syndrome; atherosclerosis; cardiovascular; inflammation

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