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suck abstract from ncbi


10.1016/j.jacc.2020.07.069

http://scihub22266oqcxt.onion/10.1016/j.jacc.2020.07.069
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33092738!7571973!33092738
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suck abstract from ncbi

pmid33092738      J+Am+Coll+Cardiol 2020 ; 76 (17): 2024-2035
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  • Coronavirus and Cardiometabolic Syndrome: JACC Focus Seminar #MMPMID33092738
  • Mechanick JI; Rosenson RS; Pinney SP; Mancini DM; Narula J; Fuster V
  • J Am Coll Cardiol 2020[Oct]; 76 (17): 2024-2035 PMID33092738show ga
  • The coronavirus disease 2019 (COVID-19) pandemic exposes unexpected cardiovascular vulnerabilities and the need to improve cardiometabolic health. Four cardiometabolic drivers-abnormal adiposity, dysglycemia, dyslipidemia, and hypertension-are examined in the context of COVID-19. Specific recommendations are provided for lifestyle change, despite social distancing restrictions, and pharmacotherapy, particularly for those with diabetes. Inpatient recommendations emphasize diligent and exclusive use of insulin to avert hyperglycemia in the face of hypercytokinemia and potential islet cell injury. Continuation of statins is advised, but initiating statin therapy to treat COVID-19 is as yet unsubstantiated by the evidence. The central role of the renin-angiotensin system is discussed. Research, knowledge, and practice gaps are analyzed with the intent to motivate prompt action. An emerging model of COVID-related cardiometabolic syndrome encompassing events before, during the acute phase, and subsequently in the chronic phase is presented to guide preventive measures and improve overall cardiometabolic health so future viral pandemics confer less threat.
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications[MESH]
  • |Humans[MESH]
  • |Metabolic Syndrome/prevention & control/*virology[MESH]
  • |Pandemics[MESH]


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