Id |
Subject |
Object |
Predicate |
Lexical cue |
T45 |
0-44 |
Sentence |
denotes |
2 COVID-19 and cardiovascular complications |
T46 |
45-277 |
Sentence |
denotes |
The correlation between pneumonia, an inflammatory condition of lung alveoli with a compromised ability for gas exchange, and cardiovascular complications has been well established (Cilli et al., 2018; Corrales-Medina et al., 2011). |
T47 |
278-560 |
Sentence |
denotes |
For example, patients with underlying cardiovascular disease are more likely to develop community-acquired pneumonia (Corrales-Medina et al., 2015) and about 8 to 25% of patients with community acquired pneumonia develop at least one cardiac complication during their hospital stay. |
T48 |
561-715 |
Sentence |
denotes |
The exaggerated cardiovascular episodes after pneumonia have been associated with increased mortality (Corrales-Medina et al., 2012; Viasus et al., 2013). |
T49 |
716-907 |
Sentence |
denotes |
In line with these observations, cardiac complications have been reported in patients with novel coronavirus infections such as tachycardia and hypotension, which are common in SARS patients. |
T50 |
908-1040 |
Sentence |
denotes |
Moreover, arrhythmia, cardiomegaly and diastolic dysfunction have been reported in SARS patients (Li et al., 2003; Yu et al., 2006). |
T51 |
1041-1192 |
Sentence |
denotes |
In addition, infection with MERS-CoV was associated with acute myocarditis, myocardial edema and severe left ventricular dysfunction (Alhogbani, 2016). |
T52 |
1193-1367 |
Sentence |
denotes |
In the context of COVID-19, both patients with and without underlying cardiovascular comorbidities can develop cardiovascular complications secondary to SARS-CoV-2 infection. |
T53 |
1368-1731 |
Sentence |
denotes |
For example, Wang et al., reported that among 138 hospitalized patients with COVID-19 in Wuhan, China, cardiac injury, as evidenced by new ECG or echocardiographic abnormalities or elevated high-sensitivity cardiac troponin I, was present in 7.2% of all patients and 22% of patients who required intensive care unit (ICU) hospitalization (Wang, Hu, et al., 2020). |
T54 |
1732-2074 |
Sentence |
denotes |
Moreover, the National Health Commission of China reported that 12% of patients infected with SARS-CoV-2 and without known cardiovascular disease (CVD) had elevated troponin levels or cardiac arrest during hospitalization, 17% had coronary heart disease and 35% of patients had hypertension (Zheng, Ma, Zhang, & Xie, 2020; Zhou et al., 2020). |
T55 |
2075-2258 |
Sentence |
denotes |
However, there is accumulating evidence that COVID-19 patients with underlying CVD are at higher risk for developing severe complications (Huang et al., 2020; Wang, Hu, et al., 2020). |
T56 |
2259-2466 |
Sentence |
denotes |
For instance, older patients with underlying CVD who are infected with SARS-CoV-2 are more prone to become severely ill, develop cardiac injury or require intensive care (Guo et al., 2020; Shi et al., 2020). |
T57 |
2467-2696 |
Sentence |
denotes |
The death rate among patients with underlying CVD has been stated as 10.5%, which is much higher than that of the general population (Epidemiology Working Group for Ncip Epidemic Response & Prevention, 2020; Wu & McGoogan, 2020). |
T58 |
2697-2930 |
Sentence |
denotes |
Furthermore, according to an epidemiological study conducted in China, 4.2% of the confirmed cases and 22.7% of mortalities have cardiovascular comorbidities (Epidemiology Working Group for Ncip Epidemic Response & Prevention, 2020). |
T59 |
2931-3156 |
Sentence |
denotes |
Many COVID-19 patients suffer from persistent hypotension, myocardial injury, myocarditis, left ventricular dysfunction, arrhythmia and HF (Guan, et al., 2020; Guo et al., 2020; Inciardi et al., 2020; Zhou, Yu, et al., 2020). |
T60 |
3157-3393 |
Sentence |
denotes |
Importantly, cardiac biopsy samples collected from patients with COVID-19 demonstrated increased interstitial infiltration of mononuclear inflammatory cells providing extra evidence of myocarditis in COVID-19 patients (Xu et al., 2020). |
T61 |
3394-3685 |
Sentence |
denotes |
Therefore, cardiovascular damage secondary to COVID-19 is now drawing growing attention in clinical practice (Table 2 ) and the American College of Cardiology recently issued a clinical report to address the cardiovascular consequences of SARS-CoV-2 infection (Mohammad Madjid et al., 2020). |
T62 |
3686-3755 |
Sentence |
denotes |
Table 2 Overview of COVID-19-associated cardiovascular complications. |
T63 |
3756-3823 |
Sentence |
denotes |
COVID-19-induced cardiovascular injury Proposed mechanism of injury |
T64 |
3824-3870 |
Sentence |
denotes |
• Acute myocarditis • Direct pathogen invasion |
T65 |
3871-3896 |
Sentence |
denotes |
• Indirect cytokine storm |
T66 |
3897-3946 |
Sentence |
denotes |
• Instability of coronary atherosclerotic plaques |
T67 |
3947-3961 |
Sentence |
denotes |
• Coagulopathy |
T68 |
3962-3972 |
Sentence |
denotes |
• Acute MI |
T69 |
3973-3987 |
Sentence |
denotes |
• Hypertension |
T70 |
3988-4044 |
Sentence |
denotes |
• Left ventricular dilation, hypertrophy and dysfunction |
T71 |
4045-4147 |
Sentence |
denotes |
• Arrhythmias (long QT-syndrome, torsade de pointes) • Indirect inflammatory response (Cytokine storm) |
T72 |
4148-4226 |
Sentence |
denotes |
• Worsening of heart failure • Indirect inflammatory response (Cytokine storm) |
T73 |
4227-4288 |
Sentence |
denotes |
• Volume overload due to impaired sodium and water metabolism |
T74 |
4289-4326 |
Sentence |
denotes |
• Disturbance of endothelial function |
T75 |
4327-4369 |
Sentence |
denotes |
• Pyroptosis of cardiomyocytes • Hypoxemia |
T76 |
4370-4408 |
Sentence |
denotes |
• Activation of the NLRP3 inflammasome |
T77 |
4409-4584 |
Sentence |
denotes |
• Severe tachycardia, increased peripheral resistance, hypertension, increased myocardial oxygen requirements and ischemia • Pneumonia-induced increase in sympathetic activity |