Revista Colombiana
de Medicina Física y Rehabilitación

Organo Oficial de la Asociación Colombiana de Medicina Física y Rehabilitación

ISSN Impreso: 0121-0041 - ISSN Electrónico: 2256-5655 - DOI: 10.28957/rcmfr

Manifestaciones cardiacas de la infección por Covid-19 y su enfoque rehabilitador. Revisión narrativa

Jeaneth Alejandra Acevedo González, Daniela Hinestroza Córdoba, Ricardo Andrés Linares Mora, Pedro Santiago Sánchez Parra, Oscar Mauricio Álvarez Fernández

Resumen


La infección por el nuevo coronavirus (Covid-19), descrita desde diciembre de 2019, ha ocasionado una pandemia de gran magnitud con consecuencias devastadoras a nivel mundial e implicaciones en la salud de las personas que la padecen y presentan síntomas, lo cual genera complicaciones a corto y a largo plazo, éstas últimas aún desconocidas en su totalidad. Se han descrito complicaciones cardiovasculares secundarias a la infección por Covid -19 entre las que se cuenta la aparición de arritmias, infarto agudo del miocardio, miocarditisy eventos trombótico. Sin embargo, las complicaciones a largo plazo aún no se dilucidan en su totalidad teniendo en cuenta el corto periodo de evolución de la enfermedad. A pesar de esto, esclara la asociación que existe entre las enfermedadescardiovasculares previasyla coinfección por Covid-19, lo cual favorece la aparición de enfermedades severasy peores desenlaces en las personas que las presentan. Teniendo en cuenta esta asociación, es importante crear o fortalecer programas de rehabilitación cardiaca que utilicen herramientas tecnológicas para favorecer la telerrehablitación y así mejorar la calidad de vida de las personas, favoreciendo su independencia.


Palabras clave


Covid-19; cardiovascular; rehabilitación cardiaca; telerrehablitación

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Referencias


Gobierno de Colombia, Instituto Nacional de Salud [INS]. Módulo de datos Covid -2019 en Colombia [Internet]. 2020 [citada 2020 junio 7]. Disponible en: http://www.ins.gov.co/Direcciones/ONS/modelos-covid-19

Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, et al. Cardiovascular Implications of Fatal Outcomes of Patients with Coronavirus Disease 2019 (Covid-19). JAMA Cardiol. [Internet]. 2020;5(7):811-818. Disponible en: http://doi.org/10.1001/jamacardio.2020.1017

Zhu H, Rhee JW, Cheng P, Waliany S, Chang A, Witteles RM, et al. Cardiovascular Complications in Patients with Covid-19: Consequences of Viral Toxicities and Host Immune Response. Curr Cardiol Rep. [Internet]. 2020;22(5):32. Disponible en: http://doi.org/10.1007/s11886-020-01292-3. Erratum in: Curr Cardiol Rep. 2020 May 13;22(5):36.

Zheng YY, Ma YT, Zhang JY, Xie X. Covid-19 and the cardiovascular system. Nat Rev Cardiol. [Internet]. 2020;17(5):259-260. Disponible en: https://doi.org/10.1038/s41569- 020-0360-5

Alemzadeh-Ansari MJ. Coronavirus disease 2019 (Covid-19) and cardiovascular events. Res Cardiovasc Med. [Internet]. 2020;9(1):1-2. Disponible en: https://www.rcvmonline.com/text.asp?2020/9/1/1/283158

Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS, et al. Endothelial cell infection and endotheliitis in Covid-19. Lancet [Internet]. 2020;395(10234):1417-1418. Disponible en: http://dx.doi.org/10.1016/S0140-6736(20)30937-5

Akhmerov A, Marbán E. Covid-19 and the Heart. Circ Res. [Internet]. 2020;126(10):1443-1455. Disponible en: https://doi.org/10.1161/CIRCRESAHA.120.317055

South AM, Diz DI, Chappell MC. Covid-19, ACE2, and the cardiovascular consequences. Am J Physiol Heart Circ Physiol. [Internet]. 2020;318(5):H1084–1090. Disponible en:

https://doi.org/10.1152/ajpheart.00217.2020

Long B, Brady WJ, Koyfman A, Gottlieb M. Cardiovascularcomplications in Covid-19. Am J Emerg Med. [Internet]. 2020;38(7):1504–1507. Disponible en: https://doi.org/10.1016/j.ajem.2020.04.048

Kang Y, Chen T, Mui D, Ferrari V, Jagasia D, Scherrer-Crosbie M, et al. Cardiovascular manifestations and treatment considerations in Covid-19. Heart. [Internet]. 2020;106:1132-1141. Disponible en: http://dx.doi.org/10.1136/heartjnl-2020-317056

Gori T, Lelieveld J, Münzel T. Perspective: cardiovascular disease and the Covid-19 pandemic. Basic Res Cardiol. [Internet]. 2020;115:32. Disponible en: http://doi.org/10.1007/s00395-020-0792-4

Larson AS, Savastano L, Kadirvel R, Kallmes DF, Hassan AE, Brinjikji W. COVID?19 and the Cerebro?Cardiovascular Systems: What do we Know so Far? J Am Heart Assoc. [Internet]. 2020;98(13):e016793. Disponible en: https://doi.org/10.1161/jaha.120.016793

EmamiA, Javanmardi F, Pirbonyeh N,Akbari A. Prevalence of Underlying Diseases in Hospitalized Patients with Covid-19: a Systematic Review and Meta-Analysis. Arch Acad Emerg Med. [Internet]. 2020;8(1):e35. PMID: 32232218. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7096724/

Clerkin KJ, Fried JA, Raikhelkar J, Sayer G, Griffin JM, Masoumi A, et al. Covid-19 and Cardiovascular Disease. Circulation. 2020;141(20):1648?1655. Disponible en: http://doi.org/10.1161/CIRCULATIONAHA.120.046941

Tucker NR, Chaffin M, Bedi KC, Papangeli I, Akkad AD, Arduini A, et al. Myocyte Specific Upregulation of ACE2 in Cardiovascular Disease: Implications for SARS-CoV-2 mediated myocarditis. Circulation. [Internet]. 2020;142(7):708-710. Disponible en: https://doi.org/10.1161/CIRCULATIONAHA.120.047911

Vigorito C, Faggiano P, Mureddu GF. Covid-19 pandemic: What consequences for cardiac rehabilitation? Monaldi Archr Chest Dis. [Internet]. 2020;90(1). Disponible en: https://doi.org/10.4081/monaldi.2020.1315

American Association of Cardiovascular and Pulmonary Rehabilitation [AACVPR]. Returning with Care: Considerations for Resuming In-Center Cardiac and Pulmonary Rehabilitation Program Services [Internet]. 2020 [citada 2020 mayo 30]. Disponible en: http://www.aacvpr.org/covid19/reopening

Phillips M, Turner-Stokes P, Wade D, Walton K & British Society of Rehabilitation Medicine [BSRM]. Rehabilitation in the wake of Covid-19 - A phoenix from the ashes [Internet]. Londres: BSRM; 2020 [citado 2020 junio 20]. Issue 1. Disponible en: https://www.bsrm.org.uk/downloads/covid-19bsrmissue1-published-27-4-2020.pdf

Thomas RJ, Beatty AL, Beckie TM, Brewer LC, Brown TM, Forman DE, et al. Home-based cardiac rehabilitation: A scienti?c statement from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. [Internet]. 2019;74(1):133-153. Disponible en: https://doi.org/10.1016/j.jacc.2019.03.008

European Society of Cardiology [ESC]. Recommendations on how to provide cardiac rehabilitation activities during the Covid-19 pandemic [Internet]. 2020 [citada 2020 mayo 30]. Disponible en: https://www.escardio.org/Education/Practice-Tools/CVD-prevention-toolbox/recommendationson-how-to-provide-cardiac-rehabilitation-activities-during-the-c

Lima de Melo Ghisi G, Pesah E, Turk-Adawi K, Supervia M, Lopez-Jimenez F, Grace S. Cardiac Rehabilitation Models around the Globe. J Clin Med. [Internet]. 2018;7(9):260. Disponible en: https://dx.doi.org/10.3390%2Fjcm7090260

Hwang R, Morris NR, Mandrusiak A, Bruning J, Peters R, Korczyk D, et al. Cost-Utility Analysis

of Home-based Telerrehabilitation Compared with Centre-based Rehabilitation in Patients with Heart Failure. Heart Lung Circ. 2018;28(12):1795-1803. Disponible en: https://doi.org/10.1016/j.hlc.2018.11.010

Clark RA, Conway A, Poulsen V, Keech W, Tirimacco R, Tideman P. Alternative models of cardiac rehabilitation: A systematic review. Eur J Prev Cardiol. [Internet]. 2015;22(1):35-74. Disponible en: https://doi.org/10.1177/2047487313501093

Babu AS, Padmakumar R, Nayak K, Shetty R, Mohapatra AK, Maiya AG. Effects of home-based exercise training on functional outcomes and quality of life in patients with pulmonar y hypertension: A randomized clinical trial. Indian Heart J. [Internet]. 2019;71(2):161-165. Disponible en: https://doi.org/10.1016/j.ihj.2019.03.002

O’Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. [Internet]. 2009;301(14):1439-1450. Disponible en: https://doi.org/10.1001/jama.2009.454

Kachur S, Lavie CJ, Morera R, Ozemek C, Milani R. Exercise training and cardiac rehabilitation in cardiovascular disease. Expert Rev Cardiovasc Ther. [Internet]. 2019;17(8): 585-596. Disponible en: https://doi.org/10.1080/14779072.2019.1651198

Jiménez-Pavón D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of Covid-19 quarantine: Special focus in older people. Prog Cardiovasc Dis. [Internet]. 2020;63(3):386-388. Disponible en: https://dx.doi.org/10.1016%2Fj.pcad.2020.03.009h

Yeo TJ, Wang YTL, Low TT. Have a heart during the Covid-19 crisis: Making the case for cardiac rehabilitation in the face of an ongoing pandemic. Eur J Prev Cardiol. [Internet]. 2020;27(9):903-905. Disponible en: https://doi.org/10.1177/2047487320915665

Pesah E, Turk-Adawi K, Supervia M, Lopez-Jimenez F, Britto R, Ding R, et al. Cardiac rehabilitation delivery in low/middle-income countries. Heart. [Internet]. 2019;105(23):1806-1812. Disponible en: https://doi.org/10.1136/heartjnl-2018-314486

Babu AS, Turk-Adawi K, Supervia M, Jimenez FL, Contractor A, Grace SL. Cardiac Rehabilitation in India: Results from the International Council of Cardiovascular Prevention and Rehabilitation’s Global Audit of Cardiac Rehabilitation. Global Heart [Internet]. 2020 [citada 2020 mayo 30];15(1):28. Disponible en: http://doi.org/10.5334/gh.783

Babu AS, Arena R, Ozemek C, Lavie CJ. Covid-19: A Time for Alternate Models in Cardiac Rehabilitation to Take Centre Stage. Can J Cardiol. [Internet]. 2020;36(6):792-794. Disponible en: https://doi.org/10.1016/j.cjca.2020.04.023

Blocken B, Malizia F, van Druenen T, Marchal T. Towards aerodynamically equivalent COVID19 1.5 m social distancing for walking and running. Disponible en: http://www.urbanphysics.net/COVID19_Aero_Paper.pdf

Percy E, Luc JGY, Vervoort D, Hirji S, Ruel M, Coutinho T. Post-Discharge Cardiac Care in the Era of Coronavirus 2019: How Should We Prepare? Can J Cardiol. [Internet]. 2020;1-5. Disponible en: https://doi.org/10.1016/j.cjca.2020.04.006

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. [Internet]. 2020;395(10223):497–506. Disponible en: https://doi.org/10.1016/s0140-6736(20)30183-5

Xiong TY, Redwood S, Prendergast B, Chen M. Coronaviruses and the cardiovascular system: acute and long-term implications. Eur Heart J. [Internet]. 2020;41(19):1798-1800. Disponible en: https://doi.org/10.1093/eurheartj/ehaa231

Hartley DM, Reisinger HS, Perencevich EN. When infection prevention enters the temple: Intergenerational social distancing and Covid-19. Infect Control Hosp Epidemiol. [Internet]. 2020;41(7):868-869. Disponible en: https://dx.doi.org/10.1017%2Fice.2020.100

Babu AS, Lopez-Jimenez F, Thomas RJ, Isaranuwatchai W, Herdy AH, Hoch JS, et al. Advocacy for outpatient cardiac rehabilitation globally. BMC Health Serv Res. [Internet]. 2016;16(471). Disponible en: https://doi.org/10.1186/s12913-016-1658-1

Thomas E, Gallagher R, Grace SL. Future-proofing cardiac rehabilitation: Transitioning services to telehealth during Covid-19. Eur J Prev Cardiol. [Internet]. 2020; abril 23. Disponible en: https://doi.org/10.1177%2F2047487320922926

Yeo TJ, Wang YTL, Low TT. Have a heart during the Covid-19 crisis: Making the case for cardiac rehabilitation in the face of an ongoing pandemic. Eur J Prev Cardiol. [Internet]. 2020;27(9):903-905. Disponible en: https://doi.org/10.1177/2047487320915665

Ritchey MD, Maresh S, McNeely J, Shaffer T, Jackson SL, Keteyian SJ, et al. Tracking cardiac rehabilitation participation and completion among Medicare beneficiaries to inform the efforts of a national initiative. Circ Cardiovasc Qual Outcomes. [Internet]. 2020;13(1). Disponible en:

https://doi.org/10.1161/CIRCOUTCOMES.119.005902

Mezzani A, Hamm LF, Jones AM, McBride PE, Moholdt T, Stone JA, et al. Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: A joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation. Eur J Prev Cardiol. 2013;20(3):442-467. Disponible en: https://doi.org/10.1177/2047487312460484

Balady GJ, Williams MA, Ades PA, Bittner V, Comoss P, Foody JAM, et al. Core components of cardiac rehabilitation/secondary prevention programs: 2007 update - A sci. statement from the Am. Heart Assoc. exercise, cardiac rehabilitation, and prevention comm., the council on clinical cardiology; thecouncils on cardiovascular nursing, epidemiology and prevention, and nutrition, physical activity, and metabolism; and the Amercian Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2007;115(20):2675–2682. Disponible en: https://doi.org/10.1161/CIRCULATIONAHA.106.180945

Ades PA, Keteyian SJ, Wright JS, Hamm LF, Lui K, Newlin K, et al. Increasing Cardiac Rehabilitation Participation From 20% to 70%: A Road Map From the Million Hearts Cardiac Rehabilitation Collaborative. Mayo Clin Proc[Internet]. 2017;92(2):234-242. Disponible en:

https://doi.org/10.1016/j.mayocp.2016.10.014

Yin K, Khonsari S, Gallagher R, et al. Telehealth interventions for the secondary prevention ofcoronary heart disease: A systematic review and meta-analysis. Eur J Cardiovasc Nurs. [Internet]. 2019;18(4):260-271. Disponible en: https://doi.org/10.1177/1474515119826510

Supervía M and Lopez-Jimenez F. mHealth and cardiovascular diseases self- anagement: There is still a long way ahead of us. Eur J Prev Cardiol. [Internet]. 2018;25(9): 974-975. Disponible en: https://doi.org/10.1177/2047487318766644

Hwang R, Bruning J, Morris NR, Mandrusiak A, Russell T. Home-based telerrehabilitation is not inferior to a centre-based program in patients with chronic heart failure: A randomised trial. J Physiother. [Internet]. 2017; 63(2):101-107. Disponible en:

https://doi.org/10.1016/j.jphys.2017.02.017

Maddison R, Rawstorn JC, Stewart RAH, Benatar J, Whittaker R, Rolleston A, et al. Effects and costs of real-time cardiac telerrehabilitation: randomised controlled non-inferiority trial. Heart. [Internet]. 2019;105(2):122-129. Disponible en: https://doi.org/10.1136/heartjnl-2018-313189

Frederix I, Caiani EG, Dendale P, et al. ESC e-Cardiology Working Group Position Paper: Overcoming challenges in digital health implementation in cardiovascular medicine. Eur J Prev Cardiol. [Internet]. 2019;26(11):1166-1177. Disponible en: https://doi.org/10.1177/2047487319832394

Shi S, Qin M, Shen B, Cai Y, Liu T, Yang F, et al. Association of cardiac injury with mortality in hospitalized patients with Covid-19 in Wuhan, China. JAMA Cardiol. [Internet]. 2020;5(7):802-810. Disponible en: https://doi.org/10.1001/jamacardio.2020.0950

WorldOmeter. Age, sex, existing conditions of Covid-19 cases and deaths [Pre-existing medical conditions (comorbidities)] [Internet]. 2020 [citado junio 13 de 2020]. Disponible en: https://www.worldometers.info/coronavirus/coronavirus-age-sex-demographics/




DOI: http://dx.doi.org/10.28957/rcmfr.v30spa7


© Rev Col Med Fis Reh 

DOI: 10.28957/rcmfr

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