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COVID-19 cardiac injury: is there a common approach to nosological classification?

Authors: Ilov N.N., Adzhyan M.S., Imamutdinov A.F., Ahtyamova K.V.

Company: 1 Federal Center for Cardiovascular Surgery, Astrakhan’, Russian Federation
2 Astrakhan State Medical University, Astrakhan’, Russian Federation
3 Alexander Mariinsky Regional Clinical Hospital, Astrakhan’, Russian Federation
4 Regional Cardiologic Dispensary, Astrakhan’, Russian Federation
5 Сity Polyclinic # 3, Astrakhan’, Russian Federation

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Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2021-15-2-157-166

For citation: Ilov N.N., Adzhyan M.S., Imamutdinov A.F., Akhtyamova K.V. COVID-19 cardiac injury: is there a common approach to nosological classification? Creative Cardiology. 2021; 15 (2): 157–66 (in Russ.). DOI: 10.24022/1997-3187-2021-15-2-157-166

Received / Accepted:  08.06.2021 / 28.06.2021

Keywords: SARS-CoV-2 infection COVID-19 cardiac injury

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Abstract

The literature review showed the main scenarios of SARS-CoV-2-associated myocardial injury. On the basis of the analysis of literature it can be concluded that myocardial lesion is multi-factor at COVID-19. Possible scenarios include direct damage to myocardium, development of acute systemic inflammatory response and cytokine storm, effects of acute respiratory distress syndrome, coagulopathy and electrolyte imbalance associated with COVID-19, as well as the toxic effects of drugs used in SARS-CoV-2 treatment schemes. At the same time, a rather vague concept – «acute damage of myocardium» – is often used to describe symptoms and laboratory changes in literature. Given the multifactor of myocardial lesions in COVID-19, the clinician often faces a difficult situation – the need for a nosological interpretation of the clinical status of the patient. Knowledge and correct verification of the leading pathogenetic variant of a heart injury can simplify this task, narrow the scope of diagnostic monitoring and organize a personalized approach to therapy

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About Authors

  • Nikolay N. Ilov, Cand. Med. Sci., Associate Professor, Cardiovascular Surgeon; ORCID
  • Mariam S. Adzhyan, Cardiologist; ORCID
  • Anver F. Imamutdinov, Cardiologist; ORCID
  • Kristina V. Akhtyamova, Cardiologist; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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