COVID-19’s Lasting Impact on the Heart: Experts Call for Proactive Cardiovascular Care
A new report from leading European cardiovascular experts,published in the European Journal of Preventive Cardiology,highlights the meaningful and often overlooked cardiovascular risks associated with both acute COVID-19 infection and long COVID. The report urges a shift in focus towards proactive prevention, rehabilitation, and long-term care for patients, emphasizing that the threat extends far beyond the initial illness.
With over a billion confirmed COVID-19 cases worldwide, researchers are increasingly aware of the virus’s potential to trigger or exacerbate conditions like myocarditis (heart muscle inflammation), heart attacks, heart failure, and blood clots. The authors note that initial public health messaging largely centered on respiratory issues, potentially leaving many unaware of the serious cardiovascular consequences.
The report stresses the importance of cardiac rehabilitation for patients experiencing cardiovascular symptoms post-COVID, especially those with pre-existing heart conditions. A structured exercise program, beginning 6-12 weeks after infection, is recommended to rebuild heart strength. For individuals suffering from long COVID, a gradual reintroduction of activity is advised.
Crucially, the report emphasizes that the risk of cardiovascular events remains elevated for up to three years after hospitalization with COVID-19. Therefore, thorough preventative measures – including both medication and lifestyle changes – are vital to address lingering risks.
Addressing the growing challenge of long COVID, the authors estimate that approximately 5% of the 100 million people globally living with long COVID experience cardiac symptoms such as chest pain, shortness of breath, irregular heartbeat, fatigue, and dizziness. They advocate for increased investment in long COVID clinics and equitable access to rehabilitation services.
Lead author Dr. vassilios Vassiliou of the University of East Anglia emphasized the need for a sustained, holistic approach. “Health systems must be prepared for the ongoing burden, not just the acute infection.” He also underscored the critical role of continued COVID-19 vaccination,both in preventing severe illness and reducing the likelihood of developing long COVID and its associated cardiovascular complications. Further research into the long-term cardiovascular effects of COVID-19 is also deemed essential to refine and improve care strategies.
