References

emcardio

Неотложная кардиология и кардиоваскулярные риски

Emergency Cardiology and Cardiovascular Risks journal

2616-633X

Белорусский государственный медицинский университет

10.51922/2616-633X.2023.7.1.1859

emcardio-71

Research Article

Фундаментальные исследования

Fundamental studies

Острое повреждение миокарда у пациентов с COVID-19: патогенетические аспекты, вопросы дифференциальной диагностики

Acute myocardial injury in COVID-19 patients: pathogenetic aspects and differential diagnosis considerations

Плешко

А. А.

Pleshko

A. A.

г. Минск

Minsk

andybo747@gmail.com

Петрова

Е. Б.

Petrova

E. B.

г. Минск

Minsk

Григоренко

Е. А.

Grigorenko

E. A.

г. Минск

Minsk

Горбат

Т. В.

Gorbat

T. V.

г. Минск

Minsk

Гунич

С. В.

Gunich

S. V.

г. Минск

Minsk

Митьковская

Н. П.

Mitkovskaya

N. P.

г. Минск

Minsk

Белорусский государственный медицинский университет; ГУ «РНПЦ «Кардиология»Belarusian State Medical University; Republican Scientific and Practical Center “Cardiology”

ГУ «РНПЦ «Кардиология»; Белорусский государственный медицинский университетRepublican Scientific and Practical Center “Cardiology”; Belarusian State Medical University

ГУ «РНПЦ «Кардиология»,Republican Scientific and Practical Center “Cardiology”

УЗ «4-я городская клиническая больница им. Н.Е. Савченко»Republican Scientific and Practical Center “Cardiology”

2023

20062025

7118591867

2025

Плешко А.А., Петрова Е.Б., Григоренко Е.А., Горбат Т.В., Гунич С.В., Митьковская Н.П.

Pleshko A.A., Petrova E.B., Grigorenko E.A., Gorbat T.V., Gunich S.V., Mitkovskaya N.P.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://emcardio.bsmu.by/jour/article/view/71

В свете пандемии COVID-19, вызванной вирусом SARS-CoV-2, сердечно-сосудистые осложнения становятся медико-социальной проблемой, значимость которой в постковидном периоде увеличивается. Сердечно-сосудистые события на фоне COVID-19 включают в себя острое ишемическое и неишемическое повреждение миокарда – до 21%, острую сердечную недостаточность, нарушения ритма и проводимости (до 15%), венозные (до 7% у пациентов в терапевтическом отделении и до 22% в отделении интенсивной терапии) и артериальные тромботические осложнения (до 11%). Проведен ретроспективный анализ медицинских карт 10 908 стационарных пациентов в возрасте от 18 до 90 лет, находившихся на лечении с 01 июня 2020 г. по 31 мая 2021 г. в УЗ «4-я ГКБ им. Н.Е. Савченко». Распространенность миокардиального повреждения, развившегося на фоне SARS-CoV-2, составила 5,28% (n = 576), отмечалось у пациентов различных возрастных групп, в том числе у лиц без предшествующего сердечно-сосудистого анамнеза. В статье представлен анализ актуальных общемировых данных о патогенетических аспектах острого повреждения миокарда у пациентов с COVID-19. Отмечено, что МРТ сердца является эффективным, точным и неинвазивным методом дифференциальной диагностики ишемического и воспалительного повреждения миокарда при COVID-19. Предложен алгоритм дифференциальной диагностики острого повреждения миокарда у данной категории пациентов.

In the light of COVID-19 pandemic caused by SARS-CoV-2 virus, cardiovascular complications become a medical and social problem, the significance of which increases in the post-acute phase. Cardiovascular events against COVID-19 include both acute ischemic and non-ischemic myocardial injury – up to 21%, acute heart failure, rhythm and conduction disorders (up to 15%), venous (up to 7% in patients in the general department and up to 22% in the intensive care unit) and arterial thrombotic complications (up to 11%). The retrospective analysis of medical records of 10 908 inpatients aged 18 to 90 years, who were treated from June 01, 2020 to May 31, 2021 in The 4th City Clinical Hospital named after M.J. Saŭčanka was performed. Prevalence of myocardial injury developed against the background of SARS-CoV-2 was 5.28% (n = 576), it was observed in patients of different age groups, including those without previous cardiovascular history. The article presents an analysis of current worldwide data on pathogenetic aspects of acute myocardial injury in patients with COVID-19. It is noted that cardiac MRI is an effective, accurate and noninvasive method of differential diagnosis of ischemic and inflammatory myocardial injury in COVID-19. The algorithm for differential diagnostics of acute myocardial injury in this category of patients is proposed.

COVID-19SARS-CoV-2острое повреждение миокардамиокардиталгоритмМРТ

COVID-19SARS-CoV-2acute myocardial injurymyocarditisalgorithmMRI

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The authors declare that there are no conflicts of interest present.