More and more people who became infected with COVID-19, but who have recovered, return to the hospital due to complications, warns doctor Hadrian Borcea. These are patients with lung and cardiovascular problems.
Dr. Hadrian Borcea, head of UPU-SMURD Bihor, warns that there are more and more patients who have suffered various complications as a result with COVID-19, write News.ro.
“Patients who have recovered from COVID have started to appear, but they present themselves with urgent accusations on the side of COVID complications, especially pulmonary, but also cardiovascular. The most common complications have been related to lung damage during viral pneumonia and are still progressing poorly despite treatment, and now they need to be hospitalized again. But there are also cardiovascular emergencies, there have been several cases and a significant number of pulmonary thromboembolisms, ie clogging of a blood vessel in the lungs, with blood clots, post-COVID.
The vast majority who came with such problems did not follow a recovery program. I think they mostly have nowhere to go, they don’t have access to information that could benefit from such a thing, in addition, hospitals are now focused mainly on the fight against viral pneumonia with sars cov 2, the post-pneumonia recovery part is left so aside “, explained Dr. Hadrian Borcea.
The doctor says that it would be good to have “a mechanism in the health system, and for patients to continue to receive treatment when they return to the medical system, but also to have a way of recovery at home or in related services that can ensure recovery. A significant number of patients did not benefit from recovery even after wave 3 and I am afraid that the same situation will be now “.
“Fatigue, fatigue, weight to make a moderate physical effort”
“Since the beginning of the pandemic, it has been an important question for us cardiologists SARS-CoV-2 infection has an effect on the cardiovascular system. Later, after the population began to get sick and go through the disease, more patients began to come to the consulting rooms with fatigue, fatigue, weight to make a moderate physical effort that they could do before. When I did ultrasounds and consultations with these patients, I noticed that the heart is affected by a disease called myocarditis, which means heart muscle disease, heart muscle that can no longer pump, no longer has the strength to pump as it pumps to a healthy person. ” , says the doctor.
Patients who have symptoms such as fatigue, shortness of breath, fatigue, palpitations and know that they have been infected with COVID-19 should see a doctor immediately, he says.
Myocarditis – one of the long-term effects of COVID-19 infection
“Several studies have been done in the last year, it has been observed that one of the long-term effects of this disease, COVID-19, is this myocarditis. It is very difficult to observe without a cardiac ultrasound, but we cannot call patients to our clinic or to hospitals in general and do it all. In this sense, the symptoms are extremely important.
Patients who have symptoms such as fatigue, dyspnea, fatigue, palpitations and know that they have been infected with COVID-19 should see a doctor immediately for an ultrasound and then see if we have this myocarditis or not. If we catch it in the initial phase, ie the disease does not set in over a period of several weeks, months, it is treatable, it is treated with certain drugs, anti-inflammatory, being an inflammatory disease. Usually over 95% of it passes after several weeks of treatment. If the disease does not pass, it means that the patient has been severely affected by myocarditis and will have to be hospitalized and evaluated and investigated further for a much longer period of time “, explained Dr. Oren Iancovici.
Hypercoagulability of patients
“There is also hypercoagulability in patients, where more clots appear in the body also due to the side effects of COVID-19 disease, which could cause blockage of the arteries, for example, in the hands and feet, for which it was initially thought that if We take anticoagulants like aspirin or oral or injectable anticoagulants, we don’t care more, but some of the effects of these clots is a heart attack. There are few cases in Romania, but also in the world, cases of acute post-COVID infarction, where the respective clots blocked the coronary arteries and led to these infarcts.
These heart attacks are usually in younger patients, 30, 40 years old and come as a big surprise and are usually fatal. ”
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