Evidence map›Paper›PMID 33534131›Full record

ReviewJournal of neurovirology2021

Potential mechanisms of cerebrovascular diseases in COVID-19 patients.

Manxue Lou, Dezhi Yuan, Shengtao Liao, Linyan Tong, Jinfang Li

Abstract readReview
In one paragraph

Review in Journal of neurovirology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. New Directions in Infection-Associated Ischemic Stroke.Journal of clinical neurology (Seoul, Korea) · 2024
    Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Recombinant tissue plasminogen activator (rTPA) management for first onset acute ischemic stroke with covid -19 and non-covid -19 patients.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Patients with COVID-19: in the dark-NETs of neutrophils.Cell death and differentiation · 2021
    Review
  16. Article
  17. Arterial stiffness and COVID-19: A bidirectional cause-effect relationship.Journal of clinical hypertension (Greenwich, Conn.) · 2021
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Manxue LouDepartment of Neurology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Dezhi YuanDepartment of Neurology, First Affiliated Hospital of Army Medical University (Chongqing Southwest Hospital), Chongqing, 400038, China.
Shengtao LiaoDepartment of Gastroenterology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Linyan TongDepartment of Neurology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Jinfang LiDepartment of Neurology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China. lijinfang@hospital.cqmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the outbreak of coronavirus disease 2019 (COVID-19) in 2019, it is gaining worldwide attention at the moment. Apart from respiratory manifestations, neurological dysfunction in COVID-19 patients, especially the occurrence of cerebrovascular diseases (CVD), has been intensively investigated. In this review, the effects of COVID-19 infection on CVD were summarized as follows: (I) angiotensin-converting enzyme 2 (ACE2) may be involved in the attack on vascular endothelial cells by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), leading to endothelial damage and increased subintimal inflammation, which are followed by hemorrhage or thrombosis; (II) SARS-CoV-2 could alter the expression/activity of ACE2, consequently resulting in the disruption of renin-angiotensin system which is associated with the occurrence and progression of atherosclerosis; (III) upregulation of neutrophil extracellular traps has been detected in COVID-19 patients, which is closely associated with immunothrombosis; (IV) the inflammatory cascade induced by SARS-CoV-2 often leads to hypercoagulability and promotes the formation and progress of atherosclerosis; (V) antiphospholipid antibodies are also detected in plasma of some severe cases, which aggravate the thrombosis through the formation of immune complexes; (VI) hyperglycemia in COVID-19 patients may trigger CVD by increasing oxidative stress and blood viscosity; (VII) the COVID-19 outbreak is a global emergency and causes psychological stress, which could be a potential risk factor of CVD as coagulation, and fibrinolysis may be affected. In this review, we aimed to further our understanding of CVD-associated COVID-19 infection, which could improve the therapeutic outcomes of patients. Personalized treatments should be offered to COVID-19 patients at greater risk for stroke in future clinical practice.

Indexed as

AnticoagulantsAntiviral AgentsAtherosclerosisCardiovascular AgentsCOVID-19COVID-19 Drug TreatmentDisseminated Intravascular CoagulationExtracellular TrapsHemorrhageHumansHyperglycemiaInflammationRenin-Angiotensin SystemSARS-CoV-2StrokeThrombosisAnticoagulantsAntiviral AgentsCardiovascular AgentsCerebrovascular diseaseCOVID-19SARS-CoV-2Stroke

Identifiers

PMID33534131
PMCPMC7856859

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.