What is the impact of COVID-19 and organophosphates on cardiac health?

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What is the impact of COVID-19 and organophosphates on cardiac health?
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What is the impact of COVID-19 and organophosphates on cardiac health? ElsevierConnect UW COVID19 SARSCoV2 CardiacHealth Organophosphates

By Pooja Toshniwal PahariaOct 17 2022Reviewed by Aimee Molineux In a recent review published in Toxicology and Applied Pharmacology, researchers discussed the impacts of organophosphates and severe acute respiratory syndrome coronavirus 2 infections on cardiovascular health.

SARS-CoV-2-mediated CVS injury SARS-CoV-2 disrupts cytokine homeostasis, redox balance, and angiotensin-II/AT1R axis to promote CVS injuries. The SARS-CoV-2 receptor, angiotensin-converting enzyme 2 , is expressed in cardiac pericytes. SARS-CoV-2-induced oxidative stress, cytokine storm, and disrupted renin-angiotensin system could further escalate COVID-19-associated CVS issues in patients. Elevated angiotensin II levels can cause cardiomyocyte hypertrophy.

Cardiac injury can be identified by elevated troponin I and T levels and N-terminal pro-B-type natriuretic peptide, fast and irregular heartbeats, markedly reduced ventricular systolic function, and reduced ejection fraction, higher D-dimer levels, fibrinogen degradation products, longer prothrombin time, and activated partial thromboplastin time. In addition, abnormal electrocardiogram findings such as ST elevation, prolonged Q-Tc interval, and T wave inversion have been reported.

Being a prominent cholinesterase inhibitor, OPs can fuel arrhythmia, coronary artery disease, and congestive heart failure. Irregular pulse rates, torsades de pointes, right bundle branch block with atrial fibrillation, and polymorphic ventricular tachycardia have been reported. In rats, OP poisoning has caused loss of transverse striations, wide interfascicular spaces, cytoplasmic vacuolization, and separation of myofibrils in cardiac muscles.

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