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Pay attention to “cardiovascular syndrome” after being infected, and know 9 major new crown sequelae and long new crown!

Source of information: Chen Jieyu, attending physician of the Cardiovascular Center of Cathay General Hospital

The symptoms of the new crown are varied, and you should
know the 9 major sequelae of the new crown!

Taiwan is gradually moving towards a post-epidemic open-up era, and the epidemic prevention policy is gradually loosening. The current COVID-19 variant strain Omicron has a low mortality rate for severe cases. Infections are mostly mild, and even if they do not enter the moderate and severe cases, there are still some infected people who may have residual sequelae. Therefore, the World Health Organization defines that people diagnosed with the new crown will have persistent symptoms or sequelae for up to 2 months within 3 months after infection. More than one month is the “long-term new crown syndrome”. At present, it is estimated that about 1 to 20% of the infected people in the world will have this phenomenon after the recovery of acute virus infection. It covers a variety of symptoms, including various organs, systems or sensory disorders. Common ones are:

(1) Respiratory system:
persistent dyspnea, asthma, pulmonary fibrosis, increased respiratory sputum, chronic cough.

(2) Cardiovascular system:
palpitations, chest tightness, chest pain, myocarditis, arrhythmia, thrombosis.

(3) Cranial nervous system:
anxiety, depression, mood disorders, insomnia, fatigue, brain fog, inattention, cognitive dysfunction.

(4) Bone and joint system:
muscle and joint pain, abnormal bone metabolism.

(5) Endocrine system:
abnormal thyroid function, changes in the menstrual cycle.

(6) Renal and urinary system:
deterioration of renal function, acute kidney injury, changes in urination.

(7) Gastrointestinal system:
abdominal distension, abdominal pain, diarrhea, nausea, nausea, loss of appetite, gastroesophageal reflux.

(8) Skin system:
skin rash, ulcer, hair loss.

(9) Multisystem inflammatory syndrome:
including MIS-C in children and MIS-A in adults.

Pay attention to “cardiovascular syndrome” after infection,
unusual chest tightness, chest pain and be alert!

Regarding the cardiovascular system, a recent U.S. study found that patients infected with new coronary pneumonia had an increased incidence of complications compared with the control group after 12 months. Cardiovascular complications are about 4.5%, major adverse cardiovascular events include myocardial infarction, stroke, and the overall mortality rate is about 2.3%. Arrhythmia was about 2.0%, and more than half of them were atrial fibrillation. Other cardiovascular disorders, including heart failure and non-ischemic cardiomyopathy, were approximately 1.3%. Thromboembolic disease is about 1.0%, ischemic heart disease is about 0.7%, of which 70% are acute coronary heart disease and 4% are myocardial infarction. Cerebrovascular disorders account for approximately 0.5% of which 7 are strokes and 0.1% are cardiac or pericardium inflammatory disorders, including pericarditis and myocarditis.

The man showed severe symptoms of the new crown, and the
examination found that he had a serious arrhythmia!

32-year-old Mr. Huang, with no known past medical history, was infected with the new coronavirus in mid-May this year. In addition to common respiratory symptoms, he also suffered from chest tightness, palpitations, asthma and other symptoms. In severe cases, he almost fainted. He went to the outpatient department of cardiology for consultation. After examination, it was found that he was complicated with severe arrhythmia, and the duration of ventricular frequency pulse attack lasted for nearly 20 seconds. After medical treatment and drug control, it has gradually stabilized, and the cardiopulmonary symptoms have gradually improved.

High-risk groups should be careful to prevent severe illness after infection, and do a good job of
epidemic prevention and do not believe rumors to protect their health!

Recent studies have also analyzed the risk factors for Omicron variant virus to evolve into severe disease, including unvaccinated individuals, especially males aged 40-64 with two or more comorbidities, or patients over 65 years old with multiple comorbidities. However, vaccinated patients under the age of 65 have a lower risk of developing severe disease after contracting COVID-19.

In the current post-epidemic period when the world is gradually unblocking and opening up, it is an inevitable trend for the new coronary pneumonia to become influenza-like. Therefore, personal epidemic prevention should be done to enhance self-immunity, and oral antiviral drugs should be given to high-risk patients in advance. Injectable antiviral drugs, immunomodulatory drugs, supportive treatment and respiratory assistance are the most important topics today. Do not listen to the Internet or rumors, and accept treatment or remedies that are not scientifically proven, so as to avoid harming your health.


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