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Review
. 2020 Jun 4;13(3):291-296.
doi: 10.1093/ckj/sfaa082. eCollection 2020 Jun.

A brand-new cardiorenal syndrome in the COVID-19 setting

Affiliations
Review

A brand-new cardiorenal syndrome in the COVID-19 setting

Mugurel Apetrii et al. Clin Kidney J. .

Abstract

Coronaviruses are a major pathogen for adults, causing up to one-third of community-acquired respiratory tract infections in adults during epidemics. Although the pandemic outbreak of coronavirus disease-2019 (COVID-19) targets preferentially patient's lungs, recent data have documented that COVID-19 causes myocarditis, acute myocardial infarction, exacerbation of heart failure and acute kidney injury. Studies show that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), similar to its predecessor SARS-CoV, engages angiotensin-converting enzyme 2 (ACE2) as the entry receptor. ACE2 is also expressed in the heart, providing a link between coronaviruses and the cardiovascular system.

Keywords: ACE2; CKD; COVID-19; cardiorenal syndrome; myocardial injury.

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Figures

FIGURE 1
FIGURE 1
The main physiopathological pathways of cardiorenal syndrome associated with SARS-CoV-2 infection.

References

    1. Rangaswami J, Bhalla V, Blair JEA. et al. Cardiorenal syndrome: classification, pathophysiology, diagnosis, and treatment strategies: a scientific statement from the American Heart Association. Circulation 2019; 139: e840–e878 - PubMed
    1. Ronco C, Haapio M, House AA. et al. Cardiorenal syndrome. J Am Coll Cardiol 2008; 52: 1527–1539 - PubMed
    1. Sun ML, Yang JM, Sun YP. et al. [ Inhibitors of RAS might be a good choice for the therapy of COVID-19 pneumonia]. Zhonghua Jie He He Hu Xi Za Zhi 2020; 43: 219–222. - PubMed
    1. Driggin E, Madhavan MV, Bikdeli B. et al. Cardiovascular considerations for patients, health care workers, and health systems during the coronavirus disease 2019 (COVID-19) pandemic. J Am Coll Cardiol 2020; doi: 10.1016/j.jacc.2020.03.031 - PMC - PubMed
    1. Tam CF, Cheung KS, Lam S. et al. Impact of coronavirus disease 2019 (COVID-19) outbreak on ST-segment-elevation myocardial infarction care in Hong Kong, China. Circ Cardiovasc Qual Outcomes2020: doi: 10.1161/circoutcomes.120.006631 - PMC - PubMed