Cardiovascular sequelae of post-Covid-19 and the challenges for nursing professionals
DOI:
https://doi.org/10.55892/jrg.v7i15.1637Keywords:
Cardiovascular System, Nursing, Post-Acute COVID-19 SyndromeAbstract
Introduction: The COVID-19 outbreak identified in Wuhan, Hubei province, China, was characterized by acute infectious pneumonia (BAO et al., 2020). Reports of people with post-COVID-19 sequelae, including cardiovascular sequelae, are frequent, but the real mechanisms involved are not yet known. General objective: To analyze the cardiovascular sequelae that have emerged in the post-COVID-19 period, in addition to identifying and describing the main challenges faced by nursing in caring for these patients. Method: This study consists of an integrative literature review (ILR), a systematic search was carried out in the PUBMED databases. Fifteen articles from the years 2020 to 2024 were used, available in full in Portuguese and English. Results: According to the research carried out, the cardiovascular complications associated with COVID-19 can be classified into two main mechanisms: direct lesions, such as inflammation resulting from pericarditis, and secondary complications, such as cardiac overload resulting from cardiac stress, which interferes with the functioning of the heart (Santos et al., 2021). Zubair and Irfan (2020) highlight Virchow's triad, which includes altered blood flow, hypercoagulability and vascular damage, as factors involved in thromboembolism. According to (Inglis SC et al. 2020) professionais nurses who care for patients with cardiovascular disease (CVD) play an essential role in this context, especially by reducing anxiety about possible treatments for COVID-19 and setting realistic expectations. Conclusion: The studies show that COVID-19 has a complex and multifaceted impact on the cardiovascular system, ranging from mild manifestations to serious complications. In this scenario, the role of nurses is fundamental and challenging. Continuous and specialized training is essential to identify and manage these complications early.
Downloads
References
BAO, Y. et al. 2019-nCoV epidemic: address mental health care to empower society. The Lancet, 2020; 395(10224): 37-38.
BROWN, R.; LEE, K. Nursing Strategies for Post-COVID-19 Cardiac Complications: Education and Patient Management. Journal of Nursing Care Quality, 2021; 36(1), 21-30.
DWECK, M.R. et al. “Global evaluation of echocardiography in patients with COVID-19.” European heart journal. Cardiovascular Imaging vol. 21,9 (2020): 949-958. doi:10.1093/ehjci/jeaa178.
GEORGE, P. M. et al. Respiratory follow-up of patients with COVID-19 pneumonia.Thorax, v. 75, n. 11, p. 1009-1016, 2020.
GONZÁLEZ-GIL, et al., C. Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Intensive Crit Care Nurs. 2021 Feb; 62:102966. doi: 10.1016/j.iccn.2020.102966. Epub 2020 Oct 28. PMID: 33172732; PMCID: PMC7598734.
GUO, T.; FAN, Y.; CHEN, M.; WU, X.; ZHANG, L.; HE, T. et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19). JAMA Cardiol.2020;5(7):811–818.
GUPTA, S.; MITRA, A. Challenge of post-COVID era: management of cardiovascular complications in asymptomatic carriers of SARS-CoV-2. Heart Fail Rev. 2022 Jan;27(1):239-249. doi: 10.1007/s10741-021-10076-y. Epub 2021 Jan 11. PMID: 33426593; PMCID: PMC7797272.
HIGGINS, J.P.T; GREEN, S. Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series, 2008. DOI:10.1002/9780470712184.
HUANG, Y.; ZHAO, N. Generalized anxiety disorder,depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research, 2020; 288: 1-6.
INGLIS, S. C.; NAISMITH, C.; WHITE, K.; HENDRIKS, J. M.; BRAY, J.; HICKMAN, L. D.; ALDRIDGE, C.; BARDSLEY, K.; CAMERON, J.; CANDELARIA, D.; CARTLEDGE, S.; DU, H.; FERGUSON, C.; MARTIN, L.; SELKOW, T.; XU, X.; WYNNE, R.; DRISCOLL, A.; GALLAGHER, R.; … DAVIDSON, P. M. CSANZ COVID-19 Cardiovascular Nursing Care Consensus Statement: Executive Summary. Heart, Lung and Circulation, v. 29, n. 9, p. 1263–1267, set. 2020. DOI 10.1016/j.hlc.2020.08.001. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S1443950620304030. Acesso em: 25 nov. 2024.
JONES, A.; SMITH, B.; TAYLOR, C. THE Role of Nursing in Managing Cardiovascular Sequelae Post-COVID-19. Journal of Cardiovascular Nursing, 2023; 38(2), 143-155. Jul12;16(7):e0254523.
LALA, A.; JOHNSON, K.W.; JANUZZI, J.L.; RUSSAK, A.J.; PARANJPE, I.; RICHTER F. et al. Prevalence and impact of myocardial injury in patients hospitalized with COVID-19 infection. Journal of the American College of Cardiology. 2020; 76(5):533-546.
MENDES, K.D.S.; SILVEIRA, R.C.C.P.; GALVÃO, C.M. Uso de gerenciamento de referências bibliográficas na seleção dos estudos primários em revisão integrativa. Texto Contexto Enferm, v.28, p.758-764, 2019. DOI: http://dx.doi.org/10.1590/1980-265xtce-2017-0204.
MENGES, D. et al. Burden of post-COVID-19 syndrome and implications for healthcare service planning: A population-based cohort study. PLoS One. 2021
MOURA, D. L. et al. Sequelas da COVID-19 Evidência Atual. 2021. Rev. Medicina Desportiva informa, 2021; 12(3):8-11.
NICHOLLS, S.J.; NELSON, M.; ASTLEY, C.; BRIFFA, T.; BROWN, A.; CLARK, R.; COLQUHOUN, D.; GALLAGHER, R.; HARE, D.L.; INGLIS, S.; JELINEK, M.; O'NEIL, A.; TIRIMACCO, R.; VALE, M.; REDFERN, J. Optimising Secondary Prevention and Cardiac Rehabilitation for Atherosclerotic Cardiovascular Disease During the COVID-19 Pandemic: A Position Statement From the Cardiac Society of Australia and New Zealand (CSANZ). Heart Lung Circ. 2020 Jul;29(7):e99-e104. doi: 10.1016/j.hlc.2020.04.007. Epub 2020 Apr 30. PMID: 32473781; PMCID: PMC7192068.
NISHIGA, M.; WANG, D. W.; HAN, Y.; LEWIS, D. B.; WU, J. C. COVID-19 and cardiovascular disease: from basic mechanisms to clinical perspecves. Nat Rev Cardiol. 20 jul. 2020; 1-31. doi: 10.1038/s41569-020-0413-9.
OZDEMIR KOKEN, Z.; SAVAS, H.; GUL, S. Cardiovascular nurses' experiences of working in the COVID-19 intensive care unit: A qualitative study. Intensive Crit Care Nurs. 2022 Apr;69:103181. doi: 10.1016/j.iccn.2021.103181. Epub 2021 Nov 18. PMID: 34895975; PMCID: PMC8655854.
PUNTMANN, V.O.; CARERJ, M.L.; WIETERS, I.; FAHIM, M.; ARENDT, C.; HOFFMANN, J.; SHCHENDRYGINA, A.; ESCHER, F.; VASA-NICOTERA, M.; ZEIHER, A.M.; VEHRESCHILD, M.; NAGEL, E. Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. 2020 Nov 1;5(11):1265-1273. doi: 10.1001/jamacardio.2020.3557. Erratum in: JAMA Cardiol. 2020 Nov 1;5(11):1308. doi: 10.1001/jamacardio.2020.4648. PMID: 32730619; PMCID: PMC7385689.
SANTOS, M. S. et al. Cardiac Rehabilitation During the COVID-19 Pandemic: Recommendations From the Brazilian Society of Cardiology. Arquivos Brasileiros de Cardiologia, v. 116, n. 6, p. 1046-1051, 2021.
SOSA-GARCÍA, J.O.; GUTIÉRREZ-VILLASEÑOR. A.O.; GARCÍA-BRIONES, A.; ROMERO-GONZÁLEZ J.P.; JUÁREZ-HERNÁNDEZ, E.; GONZÁLEZ-CHON, O. Experiencia en el manejo de pacientes graves con COVID-19 en una unidad de terapia intensiva. Cirugía y Cirujanos.2020; 88(5):569-575.
SOUSA, L. M.M.; FIRMINO, C. F; VIEIRA, C. M A. M.; SEVERINO, S. S. P; PESTANA, H. C. F. C. Revisões da literatura científica: tipos, métodos e aplicações em enfermagem. Revista Portuguesa de Enfermagem de Reabilitação, Porto, Portugal, v.1, n.1, p.45–54, 2018. DOI: 10.33194/rper.2018.v1.n1.07.4391. Acesso em: 27 ago. 2024.
STEFANINI, G.G.; CHIARITO, M.; FERRANTE, G.; CANNATA, F.; AZZOLINI, E.; VIGGIANI, G.; DE MARCO, A.; BRIANI, M.; BOCCIOLONE, M.; BRAGATO, R.; CORRADA, E.; GASPARINI, G.L.; MARCONI, M.; MONTI, L.; PAGNOTTA, P.A.; PANICO, C.; PINI, D.; REGAZZOLI, D.; MY, I.; KALLIKOURDIS, M.; CICCARELLI, M.; BADALAMENTI, S.; AGHEMO, A.; REIMERS, B.; CONDORELLI, G. Humanitas COVID-19 Task Force. Early detection of elevated cardiac biomarkers to optimise risk stratification in patients with COVID-19. Heart. 2020 Oct;106(19):1512-1518. doi: 10.1136/heartjnl-2020-317322. Epub 2020 Aug 14. PMID: 32817312.
SUN, P.; LU, X.; XU, C.; SUN, W.; PAN, B. Understanding of COVID-19 based on current evidence. J Med Virol. 5 mar. 2020;1-6. doi: 10.1002/jmv.25722.
WANG, C. et al. Immediate Psychologica Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environ Research Public Health, 2020a; 17(5): 1-25.
ZUBAIR, S. M.; IRFAN, M. Post-COVID sequelae: an emerging problem of pandemic. Pakistan Journal of Chest Medicine, v. 26, n. 2, p. 54-56, 2020.