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2023 Apr-Jun;8 (2): 82-102.

2023 Chinese expert consensus on the impact of COVID-19 on the management of cardiovascular diseases.

Feng Bai, Jun Pu, Wenliang Che, Jiyan Chen, Mao Chen, Wei Chen, Xiaoping Chen, Yundai Chen, Xianwu Cheng, Xiang Cheng, Hongliang Cong, Cuilian Dai, Dali Fan, Guosheng Fu, Lei Gao, Chuanyu Gao, Wei Gao, Junbo Ge, Ben He, Tao Hu, Congxin Huang, Jing Huang, Yong Huo, Shaobin Jia, Jun Jiang, Zhicheng Jing, Xiangqing Kong, Lang Li, Yan Li, Yigang Li, Zhijuan Li, Chun Liang, Xianhe Lin, Xianxia Liu, Xuebo Liu, Chengzhi Lu, Genshan Ma, Yitong Ma, Wei Mao, Xia Mei, Zhongping Ning, Jiafu Ou, Shaderdin Slaj, Chengxing Shen, Haiming Shi, Hong Shi, Bei Shi, Xi Su, Ningling Sun, Qizhu Tang, Fang Wang, Changqian Wang, Jin Wang, Yanqing Wu, Yongjian Wu, Yunlong Xia, Dingcheng Xiang, Pingxi Xiao, Ping Xie, Dingding Xiong, Yawei Xu, Jiefu Yang, Lixia Yang, Zaixin Yu, Zuyi Yuan, Haitao Yuan, Guogang Zhang, Heng Zhang, Jian Zhang, Li Zhang, Ruiyan Zhang, Shuning Zhang, Shuyang Zhang, Zheng Zhang, Guoan Zhao, Xianxian Zhao, Jingang Zheng, Haoyi Zheng, Daxin Zhou, Shenghua Zhou, Yujie Zhou
Author Information
  1. Feng Bai: The Second Hospital of Lanzhou University.
  2. Jun Pu: Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine.
  3. Wenliang Che: Shanghai Tenth People's Hospital.
  4. Jiyan Chen: Guangdong Provincial People's Hospital.
  5. Mao Chen: West China Hospital, Sichuan University.
  6. Wei Chen: Shanghai Fourth People's Hospital.
  7. Xiaoping Chen: Sichuan University West China Hospital.
  8. Yundai Chen: First Medical Center, PLA General Hospital.
  9. Xianwu Cheng: Yanbian University Affiliated Hospital.
  10. Xiang Cheng: Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology.
  11. Hongliang Cong: Tianjin Chest Hospital.
  12. Cuilian Dai: Cardiovascular Hospital Affiliated to Xiamen University.
  13. Dali Fan: University of California, Davis Medical Center.
  14. Guosheng Fu: Shawyifu Hospital Affiliated to Zhejiang University School of Medicine.
  15. Lei Gao: Virginia Mason Franklin Medical Center.
  16. Chuanyu Gao: Fuwai Huazhong Cardiovascular Hospital.
  17. Wei Gao: Peking University Third Hospital.
  18. Junbo Ge: Zhongshan Hospital Affiliated to Fudan University.
  19. Ben He: Shanghai Chest Hospital.
  20. Tao Hu: Xijing Hospital Affiliated to Air Force Medical University.
  21. Congxin Huang: People's Hospital of Wuhan University.
  22. Jing Huang: Second Affiliated Hospital of Chongqing Medical University.
  23. Yong Huo: First Hospital of Peking University.
  24. Shaobin Jia: General Hospital of Ningxia Medical University.
  25. Jun Jiang: Second Affiliated Hospital of Zhejiang University School of Medicine.
  26. Zhicheng Jing: Peking Union Hospital, Chinese Academy of Medical Sciences.
  27. Xiangqing Kong: First Affiliated Hospital of Nanjing Medical University.
  28. Lang Li: First Affiliated Hospital of Guangxi Medical School.
  29. Yan Li: Second Affiliated Hospital of Air Force Medical University.
  30. Yigang Li: Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine.
  31. Zhijuan Li: First Affiliated Hospital of Henan University of Science and Technology.
  32. Chun Liang: Shanghai Changzheng Hospital.
  33. Xianhe Lin: First Affiliated Hospital of Anhui Medical University.
  34. Xianxia Liu: Second Affiliated Hospital of Hainan Medical College.
  35. Xuebo Liu: Tongji Hospital Affiliated to Tongji University.
  36. Chengzhi Lu: Tianjin First Central Hospital.
  37. Genshan Ma: Zhongda Hospital of Southeast University.
  38. Yitong Ma: The First Affiliated Hospital of Xinjiang Medical University.
  39. Wei Mao: The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine.
  40. Xia Mei: Chongqing People's Hospital.
  41. Zhongping Ning: Zhoupu Hospital Affiliated to Shanghai Health Medical University.
  42. Jiafu Ou: Washington University in St. Louis.
  43. Shaderdin Slaj: Hotan District People's Hospital of Xinjiang.
  44. Chengxing Shen: Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine.
  45. Haiming Shi: Huashan Hospital Affiliated to Fudan University.
  46. Hong Shi: Chinese Video Journal of Cardiology.
  47. Bei Shi: Affiliated Hospital of Zunyi Medical University.
  48. Xi Su: Wuhan Asia General Hospital.
  49. Ningling Sun: Peking University People's Hospital.
  50. Qizhu Tang: Wuhan University People's Hospita.
  51. Fang Wang: Shanghai First People's Hospital.
  52. Changqian Wang: Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine.
  53. Jin Wang: St. Louis Mercy Hospital.
  54. Yanqing Wu: Second Affiliated Hospital of Nanchang University.
  55. Yongjian Wu: Fuwai Hospital, Chinese Academy of Medical Sciences.
  56. Yunlong Xia: First Affiliated Hospital of Dalian Medical University.
  57. Dingcheng Xiang: General Hospital of the Southern Theater Command.
  58. Pingxi Xiao: Shawyifu Hospital Affiliated to Nanjing Medical University.
  59. Ping Xie: People's Hospital of Gansu Province.
  60. Dingding Xiong: National Children's Hospital Toledo Branch.
  61. Yawei Xu: Shanghai Tenth People's Hospital.
  62. Jiefu Yang: Beijing Hospital.
  63. Lixia Yang: The 920th Hospital of the PLA Joint Logistics Support Force.
  64. Zaixin Yu: Xiangya Hospital of Central South University.
  65. Zuyi Yuan: The First Affiliated Hospital of Xi'an Jiaotong University.
  66. Haitao Yuan: Shandong Provincial Hospital.
  67. Guogang Zhang: The Third Xiangya Hospital of Central South University.
  68. Heng Zhang: The First Affiliated Hospital of Bengbu Medical College.
  69. Jian Zhang: Fuwai Hospital, Chinese Academy of Medical Sciences.
  70. Li Zhang: Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine.
  71. Ruiyan Zhang: Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine.
  72. Shuning Zhang: Zhongshan Hospital Affiliated to Fudan University.
  73. Shuyang Zhang: Peking Union Hospital, Chinese Academy of Medical Sciences.
  74. Zheng Zhang: The First Hospital of Lanzhou University.
  75. Guoan Zhao: The First Affiliated Hospital of Xinxiang Medical College.
  76. Xianxian Zhao: Shanghai Changhai Hospital.
  77. Jingang Zheng: China-Japan Friendship Hospital.
  78. Haoyi Zheng: San Franciscan Heart Center.
  79. Daxin Zhou: Zhongshan Hospital Affiliated to Fudan University.
  80. Shenghua Zhou: Second Xiangya Hospital of Central South University.
  81. Yujie Zhou: Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China.
PMID: 37486153 DOI: 10.1097/CP9.0000000000000043

Abstract

The primary site of infection in COVID-19 exhibit is the respiratory system, but multiple organ systems could be affected. The virus could directly invade cardiomyocytes. Alternatively, cytokine storm could lead to myocardial injury. More importantly, the management of existing Cardiovascular Diseases must be re-examined in COVID-19 due to, for example, interaction between antiviral agents and with a wide variety of pharmacological agents. The Branch of Cardiovascular Physicians of Chinese Medical Doctor Association organized a panel of experts in cardiovascular and related fields to discuss this important issue, and formulated the "2023 Chinese Expert Consensus on the Impact of COVID-19 on the Management of Cardiovascular Diseases." The Consensus was drafted on the basis of systematic review of existing evidence and diagnosis and treatment experience, and covers three major aspects: myocardial injury caused by COVID-10 and COVID-19 vaccine, the impact of COVID-19 on patients with cardiovascular disease, and the impact of COVID-19 on the cardiovascular system of healthy people, and rehabilitation guidance recommendations. The Consensus involves 11 core clinical issues, including incidence, pathogenesis, clinical manifestations, treatment strategies, prognosis, and rehabilitation. It is our hope that this Consensus will provide a practical guidance to cardiologists in the management of Cardiovascular Diseases in the new era of COVID-19 pandemic.

Keywords

COVID-19 Cardiovascular system Diagnosis Rehabilitation Treatment

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