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Abstract
POST-COVID-19 SURGE IN SUDDEN CARDIAC ARREST: A COMPREHENSIVE REVIEW OF METABOLIC SYNDROME, LIFESTYLE RISK FACTORS, AND EMERGING PATHOPHYSIOLOGICAL INSIGHTS
Yash Srivastav, B. V. B. Balaji, Neha Yadav, Shankar Gavaroji, Shivanand Gavaroji, Aaliya Naaz,
Shubham Sagar, Sujit Borey and Anil Kumar*
ABSTRACT
Background: Sudden cardiac arrest (SCA) has notably increased in incidence following the COVID-19pandemic. The intersection of SARS-CoV-2 infection with metabolic syndrome (MetS), lifestyle changes duringthe pandemic, and complex pathophysiological mechanisms contributes to this surge. Objective: This reviewaims to synthesize current evidence on the role of metabolic syndrome and lifestyle risk factors in post-COVID-19SCA, explore emerging pathophysiological insights, and discuss prevention and management strategies.Methods: A comprehensive literature review was conducted, focusing on epidemiological data, mechanisticstudies, and clinical reports related to COVID-19, metabolic syndrome, and SCA. Results: SARS-CoV-2 inducescardiovascular injury through inflammation, endothelial dysfunction, and autonomic imbalance. Metabolicsyndrome components—hypertension, dyslipidemia, insulin resistance, and central obesity—exacerbate theseeffects. Pandemic-associated sedentary behavior, poor diet, and mental health stressors further elevatecardiovascular risk. Emerging research employing omics and AI techniques offers promise for improved riskstratification and targeted therapies. Conclusion: The post-COVID-19 rise in SCA necessitates integratedmultidisciplinary approaches encompassing metabolic control, lifestyle modification, vigilant cardiovascularscreening, and public health interventions. Continued research is essential to mitigate long-term cardiovascularsequelae.
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