ABSTRACT
Purpose. Description and illustration of the most common alternative causes of shortness of breath, cough, and acute chest pain in pandemic COVID-19 conditions. Material and methods. Authors evaluated results of the retrospective single-center study and instrumental data of 67 patients with complaints of sudden chest pain, cough and shortness of breath. For patients admitted to the hospital between March, 27 and June, 30, 2020, the first stage of diagNosis was made with the performed multispiral computed tomography (MSCT) of the chest, confirming the presence of pulmonary manifestations of COVID-19. The study did Not include patients with pneumothorax identified at the pre-And hospital stages. We describe early radiographic changes in the chest organs, main vessels, and coronary bed in patients with CT-confirmed COVID-19 admitted to O.M. Filatov Municipal Clinical Hospital No. 15, Moscow for sudden chest pain, cough, and shortness of breath. Results. In CT of the chest organs, combinations of COVID-19 and pulmonary artery thromboembolism, central/peripheral lung cancer, and acute aortic syndrome manifestations were most common. Combinations of radiation techniques in pandemic settings are COVID-19 required by patients with the acute coronary syndrome. However, it will be possible to analyze all cases of a combination of acute chest pain and sudden shortness of breath in patients with COVID-19 only after processing an extensive array of data. Conclusion. In pandemic conditions, COVID-19 performing standard imaging methods should be Not lost about the most frequent causes of chest pain and sudden shortness of breath, complementing native MSCT with contrasting enhancement in suspected pathology of the main arteries, and small circulation in high-risk patients. © 2021 Izdatel'stvo Meditsina. All rights reserved.
ABSTRACT
The pandemic of the COVID-19 viral infection in 2020 is accompanied by a massive infection of the world’s population with the great-est involvement of the urban population in the North American (USA) (over 1.788 million cases), South American (Brazil) (over 438 thousand cases), European (Russia) (over 379 thousand cases) and Asian (China) (over 82 thousand cases) continents. Aim of study. Assessment of the available treatment methodologies, physical and psychological rehabilitation in patients (men and women) with a viral infection COVID-19 in 2020, complicated by viral pneumonia, who underwent inpatient treatment in the therapeutic department of CCH No. 15 named after. O.M. Filatov of HD of Moscow. Materials and methods. The data of case histories and clinical and laboratory diagnostics of 185 patients discharged from the hospital in the period from 02.04.20 to 28.05.20 with a diagnosis of «U07.1 Coronavirus infection and acute lung injury» were ana-lyzed. Multispiral computed tomography (MSCT) of the chest was performed using an Aqualion Prime SP tomograph (Canon Medical System, Japan) to assess the pulmonary parenchyma and blood vessels. The indicators of gas exchange and acid-base state of blood were assessed. Results. According to MSCT data of the chest organs in patients, the percentage of severe bilateral pneumonia of the 3rd degree did not exceed 8% in both men and women. At the same time, there were slight gender differences: the maximum number (51.5%) of cases of pneumonia of the 2nd degree of severity was observed in men, and in women — pneumonia of the 1st degree was en-countered with the highest frequency (48.2%). Drugs with antimalarial activity (Plaquenil, hydrochloroquine) were used to treat respiratory infections in patients of working age most often, as well as expectorants and mucolytics. Among women, 73.2% of patients received them, i.e. significantly more than in the group of men (44.7%). Conclusions. Signs of COVID-19 infection complicated by bilateral viral polysegmenary pneumonia, with an approximately equal ratio of mild and moderate lesions, were found in the general population of a therapeutic hospital in more than 60% and in the ab-sence of significant gender differences. Virological methods made it possible to verify the signs of virus infection in more than 65% of patients of working age who were treated with a diagnosis of acute respiratory viral infection. © 2020, Media Sphera Publishing Group. All rights reserved.