As recalled by the Deputy Director General of fgbu “SMRC cardiology”, Ministry of healthcare of Russia, Professor Nana Pogosova, the presence of cardiovascular disease (CVD) increases the risk of a more severe course and adverse outcomes COVID-19. If in the General population of cases of a new coronavirus mortality rate is 2.3%, among patients with chronic disease mortality increases by 2-3 times and is around 6-7% (in the presence of hypertension – 6,0%, cancer of 5.6%, chronic lung diseases and 6.3% of diabetes is 7.3%). The greatest mortality observed just in patients with coronary heart disease (CHD) and other manifestations of clinical atherosclerosis. Mortality rate from coronavirus among such patients is 10.5%. An important role plays the age. Older people, who just most often are heart disease and blood vessels, in particular risk. In patients 70-79 years old, suffering from cardiovascular pathologies, mortality from COVID-19 is 8% in patients over 80 years of age is 14.8%.
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However, according to Nana Pogosova, it is important to understand that about 90% of patients with CVD cases of coronavirus infection safely recovered. “The timely provision of patients with CVD of reliable information is an extremely important health measure from the point of view of prevention of panic and fear, which themselves can significantly worsen the condition of patients,” – said the Professor.
in order not to be in the number of cases, the “cores” you need to follow some simple preventive measures.
First of all, it must significantly limit your contacts to be home, andto avoid any crowded places or travel on different types of transport. Forced entry into public places to keep a safe distance (more than 1.0-1.5 m) in respect of others, wear a medical mask, to refuse handshakes, do not touch face, eyes, nose and mouth, as often as possible to wash hands with soap and use alcohol-based disinfectant liquid. After washing to dry their hands using paper napkins or paper towels. Do not use ultraviolet bulbs and appliances for disinfection of the hands.
If you have symptoms of coronavirus infection, it is important not to delay seeking medical care. You need to call a doctor from the clinic at the place of residence or an ambulance. This will help to reduce the likelihood of adverse outcomes.
the Professor recalled that the main symptoms of coronavirus infection are fever and cough. There may also be marked shortness of breath, muscle pain and more rarely (less than 10% of patients) confusion, scratchy or sore throat, runny nose, chest pain, diarrhea, nausea, and vomiting.
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Nan legal noted that recently there are increasing reports about the danger of patients with CVD angiotensin converting enzyme inhibitors (aceis) and receptor antagonists to angiotensin II (ARA). In experimental models found that the receptors of the enzyme are the gateway to coronavirus during its penetration in human cells. In this regard, it has been assumed that the receiving aceis and ARA may increase the risk of disease coronavirus infection in patients receiving these drugs. “Due to the fact that aceis and ARA are an important component of treatment for millions of patients with hypertension and other CVD, the American College of cardiology, American heart Association and the American society of heart failure published 17 March 2020ode to a joint statement. It stresses that at the moment there is no serious evidence of any specific effects from the use of ACE inhibitors and ARA in patients with CVD cases COVID-19. You should not cancel the drugs from these groups if they were assigned to the patients before the emergence of viral infections”, – stressed after that.
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It also clarifies that from COVID-19 do not protect hot tubs and saunas. On the contrary, they can be dangerous, especially for patients with CVD. The same applies to attempts to “cure” coronavirus infection with the help of alcohol.
“If you have symptoms of coronavirus infection, you cannot self-medicate, particularly with antibiotics. They are not effective at the initial stage of the disease, but doctors are assigned to hospitals in cases of pneumonia of viral-bacterial nature. Patients with CVD are more sensitive not only to COVID-19, but also other infectious diseases, especially respiratory infections. It is shown that in patients with CVD the usual seasonal flu increases the risk of complications, in particular acute heart failure. That is why in the current national and international guidelines on cardiovascular prevention in all patients with cardiovascular diseases, especially the elderly, it is recommended to get vaccinated against influenza and pneumococcal infection,” added the Professor.