Cardiovascular complications in patients after coronavirus disease-2019
Vestnik Rossiyskoy voyenno meditsinskoy akademii
; 1:199-208, 2022.
Article
in Russian
| GIM | ID: covidwho-2300151
ABSTRACT
The data of the modern literature describing the long-term consequences of infection of the body with SARS-CoV-2 on the cardiovascular system in the framework of postcovid syndrome are analyzed. To date, postcovid syndrome refers to a condition in which symptoms continue to persist for more than 12 weeks from the moment of diagnosis of COVID-19. Various complaints of patients after undergoing a new coronavirus infection are described, the distinguishing feature of which is their versatility, where cardiovascular manifestations are assigned one of the leading roles. Postural orthostatic tachycardia syndrome, cardiac arrhythmia and conduction disorders are considered. The role of SARS-CoV-2 in the formation of de novo and decompensation of pre-existing cardiovascular diseases has been demonstrated. The possibility of developing heart failure in patients with COVID-19 as an outcome of inflammation of the heart muscle is shown. Particular attention is paid to the analysis of the incidence of myocarditis after 3 months or more from the diagnosis of COVID-19, as well as thrombotic complications, in the genesis of which the main role belongs to the formation of endothelial dysfunction resulting from the interaction of SARS-CoV-2 with vascular endothelial cells. The autoimmune component of the pathogenesis of damage to the cardiovascular system as a result of the formation of endothelial dysfunction in COVID-19 is also considered. The authors present a laboratory-instrumental algorithm for determining cardiovascular complications in people who have undergone COVID-19, including the determination of the N-terminal fragment of the brain natriuretic peptide B-type prohormone, the level of anticardial antibodies, electrocardiography, echocardiography, as well as magnetic resonance imaging of the heart with contrast.
algorithms; antibodies; arrhythmia; blood vessels; cardiovascular diseases; cardiovascular system; coronavirus disease 2019; diagnosis; diagnostic techniques; disease incidence; echocardiography; electrocardiograms; endothelium; epidemiology; heart; heart diseases; heart failure; human diseases; inflammation; magnetic resonance imaging; myocarditis; myocardium; symptoms; tachycardia; vascular diseases; viral diseases; man; Severe acute respiratory syndrome coronavirus 2; Homo; Hominidae; primates; mammals; vertebrates; Chordata; animals; eukaryotes; Severe acute respiratory syndrome-related coronavirus; Betacoronavirus; Coronavirinae; Coronaviridae; Nidovirales; positive-sense ssRNA Viruses; ssRNA Viruses; RNA Viruses; viruses; brain natriuretic peptide; post-acute COVID-19 syndrome; postural orthostatic tachycardia syndrome; circulatory system; Ecg; coronary diseases; cardiac muscle; heart muscle; SARS-CoV-2; blood vessel disorders; viral infections
Full text:
Available
Collection:
Databases of international organizations
Database:
GIM
Language:
Russian
Journal:
Vestnik Rossiyskoy voyenno meditsinskoy akademii
Year:
2022
Document Type:
Article
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