REVIEW
Cardiovascular Complications of Community-Acquired
Pneumonia
Miruna-Ioana MIRON1, Camelia Cristina DIACONU2,3,4
1 Department of Gastroenterology, Colentina
Clinical Hospital, Bucharest, Romania
2 Department of Internal Medicine, Clinical Emergency Hospital of
Bucharest, Bucharest, Romania
3 „Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
4 Academy of Romanian Scientists
Correspondence:
Miruna Miron, Department of Gastroenterology, Colentina Clinical
Hospital, Bucharest, Romania; e-mail: miruna.miron97@gmail.com
Abstract. Pneumonia is a highly encountered acute respiratory
infection that can be caused by different pathogenic agents, including mostly
viruses but also bacteria, fungi, and parasites. Cardiovascular complications
frequently occur in CAP patients during hospitalization, with an absolute rate
of cardiovascular events ranging from 10% to 30%. The cardiovascular system can
be affected by multiple mechanisms induced by such an acute infection as CAP,
which can cause cardiovascular complications such as heart failure, cardiac
arrhythmias, acute coronary syndromes, and venous thromboembolism. These
complications can be prevented by evaluating the pathophysiology of cardiac
events in these patients based on atheroma plaque-related events, such as acute
myocardial infarction, or events unrelated to plaque, such as arrhythmias and
heart failure. Cardiovascular problems can impact patients' quality of life for
a long period of time, up to one year of hospital discharge, and they are
highly associated with adverse clinical outcomes and increased associated
medical costs.
Keywords: pneumonia, cardiovascular
complications, arrythmia, patherosclerosis, Streptococcus pneumoniae
DOI 10.56082/annalsarscimed.2024.1.29