Long-term cardiovascular impact of COVID-19 among hospitalised and non-hospitalised populations: a narrative synthesis review
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By
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Nutan Maurya
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Agnes Le
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Gregory Melbourne
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Josephine Sau Fan Chow
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May 7, 2026
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Clinical Scorecard: Long-term Cardiovascular Effects of COVID-19 in Hospitalized and Non-Hospitalized Individuals: A Narrative Review
At a Glance
| Category | Detail |
| Condition | Long COVID and cardiovascular complications |
| Key Mechanisms | Persistent cardiac dysfunction and dysautonomia following SARS-CoV-2 infection |
| Target Population | Hospitalized and non-hospitalized COVID-19 patients |
| Care Setting | Outpatient and inpatient settings |
Key Highlights
- Hospitalized patients have a higher risk of long-term cardiovascular complications.
- Common symptoms include palpitations, chest pain, fatigue, and arrhythmias.
- Vaccination may provide a protective effect against long-term cardiovascular issues.
- Cardiac abnormalities can persist in non-hospitalized individuals.
- Standardized studies are needed to clarify long-term cardiovascular risks.
Guideline-Based Recommendations
Diagnosis
- Utilize echocardiography to assess cardiac function in long COVID patients.
- Monitor for persistent symptoms such as palpitations and chest pain.
Management
- Implement follow-up care for patients with cardiovascular symptoms post-COVID-19.
- Consider vaccination as part of preventive strategies.
Monitoring & Follow-up
- Regular cardiovascular assessments for both hospitalized and non-hospitalized patients.
- Track symptom progression and new onset of cardiac symptoms.
Risks
- Increased risk of myocardial injury, arrhythmias, and heart failure in hospitalized patients.
- Subclinical cardiac changes in non-hospitalized individuals.
Patient & Prescribing Data
Individuals recovering from COVID-19, both hospitalized and non-hospitalized.
Focus on managing persistent cardiovascular symptoms and monitoring for complications.
Clinical Best Practices
- Conduct thorough cardiovascular evaluations for patients with long COVID.
- Encourage vaccination to mitigate long-term cardiovascular risks.
- Standardize follow-up protocols for monitoring cardiac health post-COVID-19.
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