Endothelial dysfunction after COVID-19 infection and vaccination
Pleaze give insights on Endothelial dysfunction post covid infection with either with covid infection or covid vaccination. How to manage this . Perhaps there will be paradigm shift in overalll approach for cardiac disease mangagment and overall health too.
COVID-19 acute infection is clearly associated with the endothelial dysfunction, leading to arterial stiffness and inc risk of clots etc but the long-term sequelae only happens in people who have long Covid and symptoms persisting more than six months. This is a very active area of research and if people have persistent endothelial dysfunction months and years after Covid, which is clinically seen as decreased exercise capability, cognitive dysfunction, and extreme fatigue they will need to be evaluated by a physician . There are a lot of medications being tested and I probably would not discuss details here but can separately answer your question . Covid vaccine on the other hand, actually lower the endothelial dysfunction caused by COVID-19. A transient endothelial dysfunction can occur which last only 48 hours to a month and vaccination does not lead to long-standing endothelial dysfunction. Having said that cardiac disease has been happening for last 40 years and will continue to happen in SA and it’s more a lifestyle issue than Covid itself