As the world moves beyond the peak of the COVID-19 pandemic, emerging research continues to uncover its long-term effects on health. One alarming finding is the potential connection between COVID-19 and getting a heart attack. A recent study published in Radiology suggests that prior COVID-19 infection may accelerate coronary artery disease (CAD), increasing the risk of heart attacks even in individuals with no previous cardiovascular history.
If you or a loved one have had COVID-19, it may be time to assess your heart health—because coronary artery disease often develops silently until it leads to a life-threatening event.
Learn More: Coronary Heart Disease In Singapore >>
How COVID-19 Increases Heart Attack Risk
A study using coronary computed tomography angiography (Coronary CTA) examined 690 patients who had COVID-19 and compared their coronary artery health to 113 patients without COVID-19. The findings were concerning:
1. Accelerated Plaque Build-Up in the Arteries
- Patients with a history of COVID-19 had a 28% higher annual progression of total atheroma volume (plaque accumulation in arteries) compared to those without the virus.
- Non-calcified plaque, which is more unstable and prone to rupture, progressed 36% faster in post-COVID patients.
Why This Matters: Plaque build-up narrows arteries and can eventually block blood flow to the heart, leading to a heart attack.
2. Increased Inflammation in Coronary Arteries
- The study found higher levels of peri-coronary adipose tissue (PCAT) attenuation in COVID-19 patients, a sign of increased coronary inflammation.
- The presence of high-risk plaques (more likely to rupture and cause blockages) was also significantly greater in the post-COVID group (21% vs. 15.8%).
Why This Matters: Inflammation can weaken plaque structures, making them more likely to rupture and trigger a heart attack.
3. Long-Term Cardiovascular Risks
- Even months after recovery, COVID-19 patients showed signs of worsening heart disease, indicating that the virus may cause ongoing damage.
- These findings raise concerns about long-term cardiovascular monitoring for those who have had COVID-19, especially those at high risk due to age, high blood pressure, or diabetes.
Important Caveats: What We Still Don’t Know
- While this study strongly suggests a connection between COVID-19 and heart disease progression, it is important to note:
- The study was retrospective and conducted at a single center, meaning broader studies are needed for confirmation.
- The timing of COVID-19 infection and follow-up heart scans varied, which could impact findings.
- Individual risk factors like genetics and lifestyle choices also play a significant role in heart disease progression.
Despite these caveats, the importance of monitoring cardiovascular health after COVID-19 should not be ignored, especially for those with existing risk factors.
The Silent Threat: Coronary Artery Disease, Heart Attack, And The Need For Screening
One of the most concerning aspects of coronary artery disease (CAD – whereby the flow of blood to the heart is blocked due to blockages in the arteries) is that it often develops without symptoms until a heart attack occurs. Many people who suffer heart attacks had no prior warning signs.
Don’t wait for symptoms to appear. A heart health screening can detect early signs of coronary artery disease before it’s too late.
Learn More: Heart Health Screening In Singapore >>
Who Should Get A Heart Health Screening?
- Anyone who has had COVID-19, especially if they experienced severe illness, can consider heart health screening.
- Individuals with high blood pressure, diabetes, high cholesterol, or a family history of heart disease.
- Those who smoke or lead a sedentary lifestyle.
- Anyone over the age of 40, as heart disease risk increases with age.
Take Action: Protect Your Heart Today
If you’ve had COVID-19, do not ignore your heart health. The potential link between COVID-19 and heart attack risk is concerning, but early detection through heart health screening can save lives.
- Schedule a heart health check-up today to assess your risk.
- Talk to a doctor about a Coronary CTA scan if you have concerns about coronary artery disease.
- Maintain a heart-healthy lifestyle—exercise regularly, eat a balanced diet, and manage stress.
Your heart matters. Take the first step towards a healthier future today.
Contact Us For An Appointment
The impact of COVID-19 on heart health is becoming clearer, and the evidence suggests a heightened risk of coronary artery disease. While further studies are needed, it is crucial to prioritise heart screenings, especially if you’ve had COVID-19. To schedule an appointment with a cardiologist on your heart health, contact us via the button below.
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