Arq. Bras. Cardiol. 2021; 117(5): 976-977
Severe Acute Respiratory Distress Syndrome (ARDS) Caused by COVID-19: A Regional Factor
This Short Editorial is referred by the Research article "Prevalence and Associated Factors of SARS by Covid-19 in Adults and Aged People with Chronic Cardiovascular Disease".
The COVID-19 (Coronavirus disease-19), a disease caused by the SARS-CoV-2, was identified in China at the end of 2019 and announced as a pandemic by the World Health Organization (WHO) in March 2020, with more than 20 million cases confirmed in Brazil, and more than 583 thousand deaths from complications of the disease, by the end of epidemiological week 35, on September 4, 2021.– According to the WHO, Brazil is the third country in number of cases, with the USA on the top of the list, followed by India,– which is also considered an emerging country with problems similar to those faced by the Brazilian population.
Symptoms of the SARS-CoV-2 infection may vary from a flu-like syndrome, with mild symptoms and signs like fever, cough, nasal congestion and fatigue, to acute respiratory distress syndrome (ARDS), with symptoms including dyspnea, O2 saturation ≤ 93%, respiratory rate ≥ 30 breaths per minute, partial pressure of oxygen (PaO2)/fraction of inspired oxygen (FiO2)< 300, lymphopenia, and alveolar edema., Nearly 1,775,816 cases of ARDS secondary to COVID-19 were recorded in Brazil and 32.2% of the cases progressed to death. Of the 342,636 deaths for ARDS due to COVID-19 recorded up to the epidemiological week 36 in 2021, 59.5% had at least one comorbidity, with heart diseases, cerebrovascular diseases, systemic arterial hypertension and diabetes mellitus (DM) as the most common ones.,
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