Coronary microcirculatory dysfunction in hypercholesterolemic patients with COVID-19 : potential benefit from cholesterol-lowering treatment

Patients with hypercholesterolemia often have coronary microvascular dysfunction (CMD). Viral infections, such as the SARS-CoV-2 infection, may also result in CMD. Three non-randomized studies have shown significant beneficial effects of statins on CMD in non-infected patients. Similarly, in SARS-CoV-2 - infected patients one beneficial mechanism of action of statins may be the amelioration of endothelial dysfunction, which is a major driver of CMD. Apart from statins, lipoprotein apheresis and PCSK9 inhibitors can also improve or even reverse CMD. The potential reversal of CMD by using effective cholesterol-lowering medications during and after COVID-19 infection, especially in hypercholesterolemic COVID-19 patients, is important.KEY MESSAGESCoronary microvascular dysfunction (CMD) is common in patients hospitalized with SARS-CoV-2 infectionThree nonrandomized studies in non-infected patients are showing the beneficial effects of statin treatment on CMDEffective cholesterol-lowering medication during and after SARS-CoV-2 infection, especially in hypercholesterolemic COVID-19 patients, is of great significance.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:55

Enthalten in:

Annals of medicine - 55(2023), 1 vom: 09. Dez., Seite 2199218

Sprache:

Englisch

Beteiligte Personen:

Vuorio, Alpo [VerfasserIn]
Kovanen, Petri T [VerfasserIn]
Raal, Frederick J [VerfasserIn]

Links:

Volltext

Themen:

97C5T2UQ7J
Anticholesteremic Agents
COVID-19
Cholesterol
Cholesterol, LDL
Coronary microcirculatory dysfunction
EC 3.4.21.-
Endothelial dysfunction
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Journal Article
Lipid-lowering drugs
PCSK9 inhibitors
PCSK9 protein, human
Proprotein Convertase 9
Statins

Anmerkungen:

Date Completed 19.04.2023

Date Revised 22.04.2023

published: Print

Citation Status MEDLINE

doi:

10.1080/07853890.2023.2199218

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355720728