RESUMEN
Objetivo:
Analizar
la
evidencia
científica
sobre
los
cambios
en
el
marcador
de
lesión
miocárdica
troponina
y
resultado
clínico
pacientes
hospitalizados
con
Covid-19.Método:
Se
adoptó
una
revisión
del
alcance,
las
bases
Medical
Literature
Analysis
and
Retrieval
System
Online,
Scientific
Electronic
Library
Online
Biblioteca
Virtual
Salud,
mayo
a
julio
2022.
Utilizando
como
descriptores:
troponin;
covid-19;
cardiovascular
system.
Resultados:
23
estudios
revelaron
alteraciones
cardiacas
por
COVID-19
mediante
examen
biomarcador
cardioespecífico
troponina,
además
relacionarlo
altas
tasas
mortalidad.
Los
han
demostrado
fuerte
relación
entre
aguda,
evidenciada
elevación
un
peor
pronóstico
durante
hospitalización.
Conclusión:
mapearon
cardiovasculares
Covid-19
que
progresaron
enfermedad
grave.
Este
estudio
puede
contribuir
planificación
asistencial
protocolos
dirigidos
al
manejo
clínico,
específicos
para
enfermedad,
tanto
fase
aguda
post-Covid-19.
Life,
Год журнала:
2022,
Номер
12(7), С. 1085 - 1085
Опубликована: Июль 20, 2022
The
intricate
relationship
between
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
and
the
cardiovascular
system
is
an
extensively
studied
pandemic
topic,
as
there
ever-increasing
amount
of
evidence
that
reports
a
high
prevalence
cardiac
injury
in
context
viral
infection.
In
patients
with
Coronavirus
disease
2019,
COVID-19,
significant
increase
serum
levels
troponin
or
other
various
biomarkers
was
observed,
suggesting
injury,
thus
predicting
both
course
poor
outcome.
Pathogenesis
not
yet
completely
elucidated,
though
several
mechanisms
are
allegedly
involved,
such
direct
cardiomyocyte
oxygen
supply-demand
inequity
caused
by
hypoxia,
active
myocardial
depressant
factors
during
sepsis,
endothelial
dysfunction
due
to
hyperinflammatory
status.
Moreover,
increased
plasma
cytokines
catecholamines
significantly
enhanced
prothrombotic
environment
may
lead
destabilization
rupture
atheroma
plaques,
subsequently
triggering
coronary
syndrome.
present
review,
we
focus
on
describing
epidemiology,
pathogenesis,
role
diagnosis
prognosis
setting
COVID-19
pandemic.
We
also
explore
some
novel
therapeutic
strategies
involving
immunomodulatory
therapy,
well
their
preventing
form
disease,
short-term
outcome
long-term
sequelae
being
equally
important
SARS-CoV-2
induced
injury.
Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(3), С. 975 - 975
Опубликована: Янв. 27, 2023
Excess
cardiovascular
(CV)
morbidity
and
mortality
has
been
observed
in
patients
with
COVID-19.
Both
interleukin-32
(IL-32)
interleukin-34
(IL-34)
have
hypothesized
to
contribute
CV
involvement
COVID-19.This
prospective,
observational
study
of
laboratory-confirmed
COVID-19
infection
was
conducted
from
6
June
22
December
2020
a
tertiary
care
hospital
Vienna,
Austria.
IL-32
IL-34
levels
on
admission
were
collected
tested
for
their
association
disease
short-term
defined
by
the
presence
coronary
artery
disease,
heart
failure,
stroke
or
atrial
fibrillation
stratified
burden.A
total
245
eligible
included,
whom
37
(15.1%)
reached
primary
endpoint
28-day
mortality.
Of
sample,
161
had
no
(65.7%),
69
one
two
diseases
(28.2%)
15
≥three
(6.1%).
Median
at
comparable
across
three
groups
burden.
failed
predict
upon
both
univariable
multivariable
Cox
regression
analysis.
The
groups,
however,
significantly
higher
risk
within
28
days
(one
diseases:
crude
HR
4.085
(95%
CI,
1.913-8.725),
p
<
0.001
13.173
5.425-31.985),
0.001).
This
persisted
those
after
adjustment
age,
gender
factors
(adjusted
3.942
1.288-12.068),
=
0.016).In
our
population
hospitalized
COVID-19,
did
not
show
any
associations
context
Patients
multiple
diseases,
increased
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(2), С. 352 - 352
Опубликована: Янв. 8, 2024
Background.
Myocardial
involvement
among
critically
ill
patients
with
coronavirus
disease
2019
(COVID-19)
often
has
worse
outcomes.
An
imbalance
in
the
oxygen
supply
causes
excessive
release
of
pro-inflammatory
cytokines,
which
results
increased
ventilation
requirements
and
risk
death
COVID-19
patients.
Purpose.
We
evaluated
association
between
hs-troponin
I
levels
global
longitudinal
strain
(GLS)
as
evidence
myocardial
critical
Methods.
conducted
a
prospective
cohort
study
from
1
February
to
31
July
2021
at
RSUD
Dr.
Soetomo,
Surabaya,
referral
center.
Of
65
included,
41
(63.1%)
were
men,
median
age
(interquartile
range)
51.0
years
(20.0-75.0).
Subjects
recruited
based
on
WHO
criteria
for
severe
COVID-19,
form
myocarditis
was
assessed
using
CDC
criteria.
examined
echocardiography
measure
GLS,
blood
samples
taken
hs-troponin.
then
followed
their
need
mechanical
in-hospital
mortality.
Results.
Severe
cardiac
injury
associated
an
intubation
(78.5%)
incidence
(50.8%).
There
relationship
use
(66.7%
vs.
33.3%,
p-value
<
0.001).
Decreased
GLS
(p
values
0.001
0.004,
respectively).
higher
(12.17
+
4.79
15.65
4.90,
=
0.02)
mortality
(11.36
4.64
14.74
4.82;
0.005).
Elevated
(25.33%
3.56%,
0.002)
(34.57%
5.76%,
0.002).
Conclusions.
Critically
elevated
troponin
are
Canadian Journal of Infectious Diseases and Medical Microbiology,
Год журнала:
2022,
Номер
2022, С. 1 - 13
Опубликована: Авг. 12, 2022
Within
past
decades,
human
infections
with
emerging
and
reemerging
zoonotic
viral
pathogens
have
raised
the
eminent
public
health
concern.
Since
November
2002,
three
highly
pathogenic
major
deadly
coronaviruses
of
βετα-genera
(β-hCoVs),
namely,
severe
acute
respiratory
distress
syndrome-coronavirus
(SARS-CoV),
middle
east
(MERS-CoV),
SARS-CoV-2,
been
globally
emerged
culminated
in
occurrence
SARS
epidemic,
MERS
outbreak,
coronavirus
disease
19
(COVID-19)
pandemic,
respectively.
The
global
emergence
spread
these
β-hCoVs
extremely
dreadful
impacts
on
become
an
economic
burden.
Unfortunately,
clear
specific
efficient
medical
countermeasures
for
their
underlying
fatal
illnesses
remain
under
development.
Although
they
belong
to
same
family
share
many
features
convergent
evolution,
some
important
obvious
differences.
By
utilizing
lessons
gaining
a
deeper
understanding
β-hCoVs,
we
can
identify
areas
improvement
provide
preparedness
plans
fighting
controlling
future
that
might
arise
from
them
or
other
potential
hCoVs.
Therefore,
this
review
summarizes
state-of-the-art
information
compares
similarities
dissimilarities
between
SARS-CoV,
MERS-CoV,
terms
evolution
trait,
genome
organization,
host
cell
entry
mechanisms,
tissue
infectivity
tropisms,
transmission
routes
contagiousness,
clinical
characteristics,
laboratory
features,
immunological
abnormalities
related
illnesses.
It
also
provides
overview
SARS-CoV-2
variants.
Additionally,
it
discusses
challenges
most
proposed
treatment
options
infections.
International Journal of Molecular Sciences,
Год журнала:
2023,
Номер
24(21), С. 15998 - 15998
Опубликована: Ноя. 6, 2023
The
aim
of
this
article
review
is
to
analyze
some
models
and
clinical
issues
related
the
implementation
accelerated
diagnostic
protocols
based
on
specific
cardiac
biomarkers
in
patients
admitted
emergency
department
(ED)
with
symptoms
compatible
acute
disorders.
Four
will
be
discussed
detail:
(a)
pathophysiological
interpretations
circulating
hs-cTnI
hs-cTnT
levels;
(b)
relevance
estimation
biological
variation
ED
severe
diseases;
(c)
role
advantages
point-of-care
testing
(POCT)
methods
for
cardiac-specific
pre-hospital
hospital
practice;
(d)
heart
failure
(AHF).
In
order
balance
risk
between
a
hasty
discharge
versus
potential
harms
caused
by
assessment
suspected
cardiovascular
disease,
measurement
essential
early
identification
presence
myocardial
dysfunction
and/or
injury
significantly
reduce
length
costs
hospitalization.
Moreover,
(especially
hs-cTnT)
are
useful
predictors
mortality
major
adverse
events
(MACE)
disease.
To
guide
most
rapid
algorithms
diagnosis
Non-ST-Elevation
Myocardial
Infarction
(NSTEMI)
into
routine
practice,
scientific
societies
laboratory
medicine
should
promote
collaborative
studies
specifically
designed
evaluation
analytical
performance
and,
especially,
cost/benefit
ratio
resulting
from
use
these
POCT
practice.
Tropical Medicine and Infectious Disease,
Год журнала:
2023,
Номер
8(5), С. 260 - 260
Опубликована: Апрель 30, 2023
Background:
COVID-19
is
a
respiratory
disease
that
eventually
became
pandemic,
with
300
million
people
infected
around
the
world.
Alongside
improvement
in
management
and
vaccine
development,
identifying
biomarkers
for
has
recently
been
reported
to
help
early
prediction
managing
severe
cases,
which
might
improve
outcomes.
Our
study
aimed
find
out
if
there
any
correlation
between
clinical
severity
elevated
hematological
biochemical
markers
patients
its
effect
on
outcome.
Methods:
We
have
collected
retrospective
data
socio-demographics,
medical
history,
biomarkers,
outcomes
from
five
hospitals
health
institutions
Kingdom
of
Saudi
Arabia.
Results:
Pneumonia
was
most
common
presentation
our
cohort.
The
presence
abnormal
inflammatory
(D-dimer,
CRP,
troponin,
LDH,
ferritin,
t
white
blood
cells)
significantly
associated
unstable
disease.
In
addition,
evidence
disease,
particularly
those
who
required
mechanical
ventilation,
had
higher
when
compared
stable
conditions
(p
<
0.001).
Conclusion:
Identifying
predicts
may
their
management.
Frontiers in Immunology,
Год журнала:
2023,
Номер
14
Опубликована: Авг. 16, 2023
The
novel
coronavirus
disease
2019
(COVID-19)
presents
with
complex
pathophysiological
effects
in
various
organ
systems.
Following
the
COVID-19,
there
are
shifts
biomarker
and
cytokine
equilibrium
associated
altered
physiological
processes
arising
from
viral
damage
or
aggressive
immunological
response.
We
hypothesized
that
high
daily
dose
methylprednisolone
improved
injury
biomarkers
serum
profiles
COVID-19
patients.
Injury
analysis
was
performed
on
50
SARS-Cov-2
negative
controls
101
hospitalized
severe
patients:
49
methylprednisolone-treated
(MP
group)
52
placebo-treated
samples.
Samples
treated
groups
collected
days
D1
(pre-treatment)
all
groups,
D7
(2
after
ending
therapy)
D14
were
analyzed.
Luminex
assay
quantified
HMGB1,
FABP3,
myoglobin,
troponin
I
NTproBNP.
Immune
mediators
(CXCL8,
CCL2,
CXCL9,
CXCL10,
TNF,
IFN-γ,
IL-17A,
IL-12p70,
IL-10,
IL-6,
IL-4,
IL-2,
IL-1β)
using
cytometric
bead
array.
At
pretreatment,
two
treatment
comparable
demographically.
pre-treatment
(D1),
(HMGB1,
TnI,
myoglobin
FABP3)
distinctly
elevated.
D7,
HMGB1
significantly
higher
MP
group
(p=0.0448)
compared
to
placebo
group,
while
diminished
by
(p=0.0115).
Compared
healthy
control
samples,
several
immune
(IL-17A,
MIG,
MCP-1,
IP-10)
considerably
elevated
at
baseline
(all
p≤0.05).
MIG
IP-10
of
MP-group
lower
than
placebo-group
(p=0.0431,
p=0.0069,
respectively).
Longitudinally,
IL-2
(MP-group)
IL-17A
(placebo-group)
had
increased
D14.
In
continuously
increased,
as
IL-10
steadily
decreased
during
follow-up.
IL-12p70
progressively
increase
IL-1β
gradually
towards
Moderate
strong
positive
correlations
between
chemokines
cytokines
observed
These
findings
suggest
could
ameliorate
levels
but
appeared
have
no
impact
TnI
addition,
relieves
induced
inflammatory
response
diminishing
levels.
Overall,
corticosteroid
(methylprednisolone)
use
management
influences
molecule
profile
Proceedings of the Southwest State University Series IT Management Computer Science Computer Engineering Medical Equipment Engineering,
Год журнала:
2024,
Номер
13(3), С. 8 - 20
Опубликована: Янв. 27, 2024
The
purpose
of
research
is
study
correlations
and
algorithmization
cytokine
status
analysis
patients
with
coronary
heart
disease
in
the
early
recovery
period
after
COVID-19.
Methods
.
Cytokine
was
studied
40
3-4
weeks
from
COVID19.
control
consisted
38
without
level
cytokines
blood
determined
on
device
"Becton
Dickinson
FACS
Canto
2
(USA)".
Correlation
regression
were
used
statistical
analysis.
Results
Reliable
moderate
established
between
IL-6
IL-2,
IL-3,
respectively,
r
=
0,35
0,33;
IL-17
IL-2
–
0,28
0,63,
respectively;
TNF-α
IFN-γ
0,42
0,39.
At
same
time,
greatest
association,
according
to
values
correlation
coefficients,
among
interleukins
during
convalescence
characteristic
IL-6.
However,
also
had
a
significant
number
under
consideration.
All
this
indicates
high
association
IL-6,
other
COVID-19
their
priority
participation
development
these
patients.
To
identify
most
informative
cytokines,
an
algorithm
for
analyzing
has
been
developed,
which
provides
uncorrected
adjusted
mathematical
models
by
gender
age
who
have
undergone
It
found
that
effect
(OR
1,792,
p
0,0021)
model
1,708,
0,0012).
Conclusion
correlations,
algorithms
created
are
proposed
be
assessing
thedynamics
Turkiye Klinikleri Journal of Medical Sciences,
Год журнала:
2024,
Номер
44(1), С. 43 - 52
Опубликована: Янв. 1, 2024
The
global
spread
of
the
severe
acute
respiratory
syndrome-coronavirus-2
(SARS-CoV-2)
virus
has
led
to
a
widespread
outbreak
coronavirus
disease-2019
(COVID-19),
resulting
in
pandemic.
Following
end
pandemic,
COVID-19
transitioned
into
an
endemic
phase
characterized
by
anticipated
periodic
surges.
Therefore,
development
readily
available
prognostic
biomarkers
for
patients
continues
be
crucial
field
study.
Monitoring
blood
with
is
component
patient
care.
it
necessary
conduct
hematological
assessments
such
as
leukocyte
count,
lymphocyte
neutrophil
neutrophil-lymphocyte
ratio,
and
thrombocyte
count.
Additionally,
inflammatory
markers
C-reactive
protein,
erythrocyte
sedimentation
rate,
procalcitonin
should
measured.
Immunological
indicators
including
interleukin-6
tumor
necrosis
factor-α
also
evaluated.
Furthermore,
biochemical
tests
aspartate
aminotransferase,
alanine
urea,
creatinine,
troponin
levels
assessed.
Lastly,
coagulation
parameters
D-dimer,
fibrin
degradation
products,
examined.
objective
this
narrative
review
assess
that
have
potential
valuable
monitoring
progression
management
COVID-19.
Studies
published
between
2020
2023
scanned
PubMed,
Ebsco
Google
Scholar
were
used
analysis.
Keywords
''COVID19'',
''SARS-CoV2'',
''biomarkers''
''severe
SARS-CoV-2
infection''
restrict
search.