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. 2020 Jun 6;62(1):13–23. doi: 10.1016/j.hjc.2020.05.007

Table 1.

Mechanisms of different CVD risk factors in the aggravation of COVID-19

CVD risk factors Potential mechanisms for aggravation of COVID-19 infection
DM Increased expression of ACE2 129,131,132
Underlying kidney disease 163
Underlying coronary artery disease 161
Impaired immunity 162
HTN Increased expression of ACE2 106,107,160
Underlying diastolic dysfunction 164
Underlying coronary artery disease 161
Underlying kidney disease 163
Smoking Underlying coronary artery disease 161
Decreased respiratory compliance 167
Decreased functional capacity 167
Underlying HTN 167
Impaired immunity 111,112
Old age Underlying cardiovascular disease 161
Impaired immunity 166
Obesity Decreased respiratory reserve 125
Decreased functional capacity 125
Underlying diabetes 165
Underlying coronary artery disease 161
Underlying HTN 165
Increased inflammatory cytokines125