ISSN 2305-3127 (Print)   
ISSN 2664-3790 (Online)

Reviews

DOI: http://doi.org/10.31928/2305-3127-2021.3.515 

Heart rhythm disorders and features of their management at COVID-19 pandemic

Yu.M. Mostovoy, T.D. Danilevych

National Pirogov Memorial Medical University, Vinnytsya, Ukraine

COVID-19 infection spread rapidly around the world and reached the level of a pandemic, leading to significant morbidity, healthcare tension, increased mortality, economic instability and social problems. The severe course of coronavirus infection quite often leads to cardiovascular complications. Among them, the most common are myocarditis, cardiomyopathies, myocardial infarction, pulmonary embolism and cardiac arrhythmias. The exact mechanisms of cardiovascular complications are currently unknown, but their search is underway. Patients with pre-existing cardiovascular disease and risk factors are more likely to experience adverse effects associated with COVID-19. In addition, there are data about the first appearing heart problems. Probable mechanisms of their occurrence are: direct viral invasion of cardiomyocytes, hypoxia, systemic inflammatory reaction, cytokine "storm" (increased levels of ferritin, lactate dehydrogenase, C-reactive protein, interleukin-6, catecholamines), myocardial ischemia, electrolyte imbalance, volume overload, hypercoagulation, proarrhythmogenic side effects of drugs, etc. In turn, it is quite interesting, both from a scientific and practical point of view, to study the features of the prevalence and structure of arrhythmias at COVID-19 among the population of Ukraine. In addition, there are controversial questions about the features of their management, drug interactions, routing and prognosis of the patients. The review displays the latest data from both foreign and domestic scientists about the prevalence of rhythm disorders against the background of coronavirus infection and highlights the main problematic issues of the management of the patients.

Key words: COVID-19, cardiac arrhythmia, atrial fibrillation, arterial hypertension, coronary heart disease, chronic heart failure.

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  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `l8uf4_categories` AS `s` INNER JOIN `l8uf4_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray2,:preparedArray3)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`850μs3.94KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `m`.`id`,`m`.`title`,`m`.`module`,`m`.`position`,`m`.`content`,`m`.`showtitle`,`m`.`params`,`mm`.`menuid` FROM `l8uf4_modules` AS `m` LEFT JOIN `l8uf4_modules_menu` AS `mm` ON `mm`.`moduleid` = `m`.`id` LEFT JOIN `l8uf4_extensions` AS `e` ON `e`.`element` = `m`.`module` AND `e`.`client_id` = `m`.`client_id` WHERE ( ( (`m`.`published` = 1 AND `e`.`enabled` = 1 AND `m`.`client_id` = :clientId AND `m`.`access` IN (:preparedArray1)) AND (`m`.`publish_up` IS NULL OR `m`.`publish_up` <= :publishUp)) AND (`m`.`publish_down` IS NULL OR `m`.`publish_down` >= :publishDown)) AND (`mm`.`menuid` = :itemId OR `mm`.`menuid` <= 0) AND `m`.`language` IN (:preparedArray2,:preparedArray3) ORDER BY `m`.`position`,`m`.`ordering`755μs2.22KBParams/libraries/src/Cache/Controller/CallbackController.php:51Copy
  • SELECT `c2`.`language`,`c2`.`id` FROM `l8uf4_menu` AS `c` INNER JOIN `l8uf4_associations` AS `a` ON `a`.`id` = `c`.`id` AND `a`.`context` = :context INNER JOIN `l8uf4_associations` AS `a2` ON `a`.`key` = `a2`.`key` INNER JOIN `l8uf4_menu` AS `c2` ON `a2`.`id` = `c2`.`id` WHERE `c`.`id` = :id281μs1.41KBParams/libraries/src/Language/Associations.php:145Copy
  • SELECT SUM(CASE WHEN `a`.`next_execution` <= :now THEN 1 ELSE 0 END) AS due_count,SUM(CASE WHEN `a`.`locked` IS NULL THEN 0 ELSE 1 END) AS locked_count FROM `l8uf4_scheduler_tasks` AS `a` WHERE `a`.`state` = 1178μs1.37KBParams/administrator/components/com_scheduler/src/Model/TasksModel.php:466Copy
  • SELECT `alias` FROM `l8uf4_content` WHERE `id` = :id134μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `l8uf4_categories` AS `s` INNER JOIN `l8uf4_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray2,:preparedArray3)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`880μs3.95KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `alias` FROM `l8uf4_content` WHERE `id` = :id144μs3.81KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT m.item_id as id, m.item_id, m.description as metadescription, m.description, m.title as metatitle, m.title FROM l8uf4_osmeta_metadata m WHERE m.item_id='237' AND m.item_type='4'166μs816B/administrator/components/com_osmeta/library/Free/Container/AbstractContainer.php:140Copy
  • SELECT `session_id` FROM `l8uf4_session` WHERE `session_id` = ?121μs1KBParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:291Copy
  • UPDATE `l8uf4_session` SET `data` = ? , `time` = ? WHERE `session_id` = ?312μs592BParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:318Copy