Острый коронарный синдром: новые реалии в эпоху пандемии COVID-19

Авторы: Серебренников И.И., Копылов Ф.Ю., Комаров Р.Н., Муканова М.Б., Исмаилбаев А.М., Маркитан С.В., Гафуров Ф.С.

Организация:
1 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России, Москва, Российская Федерация
2 ГБУЗ МО «Егорьевская центральная районная больница», Егорьевск, Московская обл., Российская Федерация

Для корреспонденции: Сведения доступны для зарегистрированных пользователей.

Тип статьи: Обзоры литературы

DOI: https://doi.org/10.24022/1997-3187-2022-16-2-163-178

УДК: 616.132.2:616.98

Для цитирования:  Серебренников И.И., Копылов Ф.Ю., Комаров Р.Н., Муканова М.Б., Исмаилбаев А.М., Маркитан С.В., Гафуров Ф.С. Острый коронарный синдром: новые реалии в эпоху пандемии COVID-19. Креативная кардиология. 2022; 16 (2): 163–78. DOI: 10.24022/1997-3187-2022-16-2-163-178

Поступила / Принята к печати:  30.11.2021 / 25.06.2022

Ключевые слова: COVID-19, острый коронарный синдром, перенаправление медицинских ресурсов, высокие показатели заболеваемости и смертности

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Аннотация

Пандемия новой коронавирусной инфекции (COVID-19) – это глобальная проблема института здравоохранения, характеризующаяся высокими показателями заболеваемости и смертности. Тема острого коронарного синдрома (ОКС) осложнилась целым рядом клинически значимых вопросов, таких как ковид-индуцированные повреждения миокарда, неопределенность в отношении курации этого неотложного состояния, необходимость четкой оптимизации диагностических и терапевтических мероприятий, а также обеспечение максимальной защиты медицинского персонала. Кроме того, во всем мире отмечается снижение количества госпитализаций по поводу ОКС, что связано с нежеланием пациентов обращаться за врачебной помощью и перенаправлением медицинских ресурсов в пользу борьбы с пандемией. Учитывая, что первостепенным патофизиологическим механизмом COVID-19 является значимый сдвиг в показателях коагуляции крови, необходимо установить наличие взаимосвязи между данной инфекцией и повышением риска острого коронарного поражения. Высокий риск развития ОКС, ассоциированный с COVID-19, может быть связан с разрывом атеросклеротической бляшки, вызванным повреждением эндотелиальных клеток, цитокиновым штормом и воспалительным статусом пациента. В данном обзоре будут освещены мировые и отечественные данные, посвященные влиянию пандемии COVID-19 на диагностику и клиническое течение ОКС, а также представлены результаты лечения ОКС в новых эпидемиологических условиях.

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Об авторах

  • Серебренников Игорь Иванович, аспирант; ORCID
  • Копылов Филипп Юрьевич, д-р мед. наук, профессор; ORCID
  • Комаров Роман Николаевич, д-р мед. наук, заведующий кафедрой; ORCID
  • Муканова Маруар Батыровна, аспирант; ORCID
  • Исмаилбаев Алишер Маккамджанович, канд. мед. наук, доцент; ORCID
  • Маркитан Сергей Викторович, главный врач; ORCID
  • Гафуров Фуркатджон Собирджонович, канд. мед. наук, заведующий отделением; ORCID

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Лео Антонович Бокерия, академик РАН и РАМН

Лео Антонович Бокерия, доктор медицинских наук, профессор, академик РАН и РАМН, президент



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