Subarachnoid hemorrhage: management considerations for COVID-19.
COVID-19
Subarachnoid hemorrhage
matrix metalloproteinase 9
outcomes
renin-angiotensin pathway
Journal
Exploration of neuroprotective therapy
ISSN: 2769-6510
Titre abrégé: Explor Neuroprotective Ther
Pays: United States
ID NLM: 9918282980006676
Informations de publication
Date de publication:
2022
2022
Historique:
entrez:
28
3
2022
pubmed:
29
3
2022
medline:
29
3
2022
Statut:
ppublish
Résumé
Subarachnoid hemorrhage (SAH) has deleterious outcomes for patients, and during the hospital stay, patients are susceptible to vasospasm and delayed cerebral ischemia. Coronavirus disease 2019 (COVID-19) has been shown to worsen hypertension through angiotensin-converting enzyme 2 (ACE2) activity, therefore, predisposing to aneurysm rupture. The classic renin-angiotensin pathway activation also predisposes to vasospasm and subsequent delayed cerebral ischemia. Matrix metalloproteinase 9 upregulation can lead to an inflammatory surge, which worsens outcomes for patients. SAH patients with COVID-19 are more susceptible to ventilator-associated pneumonia, reversible cerebral vasoconstriction syndrome, and respiratory distress. Emerging treatments are warranted to target key components of the anti-inflammatory cascade. The aim of this review is to explore how the COVID-19 virus and the intensive care unit (ICU) treatment of severe COVID can contribute to SAH.
Identifiants
pubmed: 35340712
doi: 10.37349/ent.2022.00018
pmc: PMC8951071
mid: NIHMS1784203
doi:
Types de publication
Journal Article
Langues
eng
Pagination
65-73Subventions
Organisme : NINDS NIH HHS
ID : R25 NS108939
Pays : United States
Déclaration de conflit d'intérêts
Conflicts of interest The authors declare that they have no conflicts of interest.
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