Список литературы

2687-0940

Актуальные проблемы медицины

2687-0940

10.52575/2687-0940-2022-45-1-55-64

105

КАРДИОЛОГИЯ

Влияние дефицита электролитов на нарушения ритма сердца на фоне новой коронавирусной инфекции (обзор литературы)

The effect of electrolyte deficiency on cardiac arrhythmias against the background of a new coronavirus infection (review)

Вишневский

Валерий Иванович

Vishnevskij

Valery I.

vishnevsky.orel@mail.ru

Панина

Юлия Николаевна

Panina

Yulia N.

doc.panina@yandex.ru

Вишневский

Матвей Вадимович

Vishnevskij

Matvei V.

2022

45100

Значительный электролитный дисбаланс из-за полиорганной недостаточности и некоторых лекарств, используемых для лечения тяжелых инфекций COVID-19, провоцирует аритмию. Во многих исследованиях сообщается, что COVID-19 всегда сопровождают электролитные нарушения. В работе использованы общенаучные методы исследования, в частности анализ зарубежных научных публикаций 2019–2021 годов из баз данных Pubmed, Medline, Google Scholar, индуктивный и дедуктивный метод. Клиницисты, ведущие пациентов с коронавирусом, должны быть осведомлены о потенциальных побочных эффектах сердечно-сосудистых заболеваний при применении различных методов лечения вирусной инфекции. Сделан вывод, что, если первоначальные электрокардиографические исследования показывают умеренное удлинение интервала QTc, лечение может быть назначено при условии оптимизации приема лекарств и введения электролитов. Если отмечено удлинение интервала QTc, необходимо избегать приема препаратов, которые могут продлить этот интервал в дальнейшем, или проконсультироваться со специалистом, чтобы иметь возможность лечить пациента с необходимыми мерами предосторожности.

A significant electrolyte imbalance due to multiple organ failure and some medications used to treat severe COVID-19 infections provokes arrhythmia. Many studies report that COVID-19 is always accompanied by electrolyte disturbances. The work uses general scientific research methods, in particular, the analysis of foreign scientific publications of 2019–2021 from the databases Pubmed, Medline, Google Scholar, inductive and deductive method. Clinicians leading patients with coronavirus should be aware of the potential side effects of cardiovascular diseases when using various methods of treating viral infection. It is concluded that if initial electrocardiographic studies show a moderate prolongation of the QTc interval, treatment can be prescribed provided that medication intake and administration of electrolytes are optimized. If there is an elongation of the QTc interval, it is necessary to avoid taking medications that may prolong this interval in the future, or consult a specialist to be able to treat the patient with the necessary precautions.

электролитный дисбалансCOVID-19побочные эффектынарушение ритма сердцатахиаритмииудлинение интервала QTcренин-ангиотензин-альдостероновая система

electrolyte imbalanceCOVID-19side effectscardiac arrhythmiatachyarrhythmiasprolongation of the QTc intervalrenin-angiotensin-aldosterone system

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