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An overview of prognostic value of neurologic and cardiac biomarkers in patients with COVID-19 sequelae

  • Madhusudhan Umesh EMAIL logo , Vidya Singaravelu , Vandana Daulatabad , Prafull Kamble , Anish Singhal , Nitin Ashok John ORCID logo and Jyoti John
Published/Copyright: June 21, 2022

Abstract

Many studies conducted after the pandemic period revealed that, while COVID-19 primarily injured the lungs, it also affects other organs in the form of cardiovascular complications, metabolic derangements, renal damage, and so on. Although we know that inflammatory cascades, complement activation, and pro-inflammatory cytokines are all involved in vasculitic processes that cause organ damage, we do not know the exact mechanism of complications such as acute respiratory distress syndrome (ARDS), cardiovascular ischemia, deep vein thrombosis, pulmonary thromboembolism, and brain injuries (embolism) that are frequently observed in COVID 19. The currently available biomarkers do not predict the severity of the aforementioned complications. As a result, more specific biomarkers such as serum calcium binding protein (S100B), glial fibrillary acid protein (GFAP), myelin basic protein (MBP), neuron-specific enolase (NSE), hs-TNI, (highly sensitive cardiac troponin) – HBDH, (Hydroxybutyrate Dehydrogenase), CK-MB (creatine kinase myocardial band), ST2 (suppression of tumorigenicity 2) are in need for early detection & improved clinical outcome.


Corresponding author: Dr. Madhusudhan Umesh, MD, Department of Physiology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, 508126, India, E-mail:

Acknowledgments

We are thankful to Prof. Dr. Vikas Bhatia, Executive Director, All India Institute of Medical Sciences, Bibinagar, Telangana, 508126, India.

  1. Research funding: None.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interest: None to declare.

  4. Informed consent & Ethical approval: Not applicable.

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Received: 2022-01-27
Accepted: 2022-04-08
Published Online: 2022-06-21

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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