Cardiovascular complications after COVID-19 in chronic kidney disease, dialysis and kidney transplant patients

被引:5
|
作者
Loutradis, Charalampos [1 ,2 ,3 ]
Pitoulias, Apostolos G. [3 ]
Pagkopoulou, Eleni [4 ]
Pitoulias, Georgios A. [3 ]
机构
[1] Evangelismos Private Hosp, Veroia 59132, Greece
[2] Hemodialysis Unit, Veroia 59132, Greece
[3] Aristotle Univ Thessaloniki, Dept Surg 2, Div Vasc Surg, G Gennimatas Hosp, Thessaloniki, Greece
[4] Aristotle Univ Thessaloniki, Dept Internal Med 4, Hippokrat Hosp, Thessaloniki, Greece
关键词
COVID-19; Hemodialysis; Chronic Kidney Disease; Renal Transplantation; Cardiovascular Disease; ANGIOTENSIN-CONVERTING ENZYME-2; HEMODIALYSIS-PATIENTS; CLINICAL CHARACTERISTICS; INTERNATIONAL REGISTRY; SARS-CORONAVIRUS; MORTALITY; ACE2; INFECTION; INFLAMMATION; DYSFUNCTION;
D O I
10.1007/s11255-021-03059-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The coronavirus disease 2019 (COVID-19) is associated with increased mortality in patients with chronic kidney disease (CKD), dialysis patients and kidney transplant recipients (KTR). Cardiovascular complications, such as sudden arrhythmias, thromboembolic events, coronary events, cardiomyopathies and heart failure, may present in about 10-20% of patients with COVID-19. Patients with CKD, dialysis patients and KTR are all at increased cardiovascular risk and present with more cardiovascular complications after COVID-19 compared to the general population. During the pandemic, health care giving has rapidly changed by reducing elective outpatient reviews, which may refrain these high-risk patients from the appropriate management of their medical conditions, further increasing cardiovascular risk. Importantly, acute kidney injury (AKI) is another common complication of severe COVID-19 and associates with increased mortality. A large proportion of the AKI patients need renal replacement treatment, while 30% of them may not present renal function recovery and remain dialysis-dependent after discharge, thereby having potentially increased future cardiovascular risk. This review summarizes current knowledge regarding the cardiovascular events and mortality in patients with CKD or undergoing hemodialysis and in KTR.
引用
收藏
页码:1551 / 1563
页数:13
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