Duca Ștefania Teodora, Chetran Adriana, Miftode Radu Ștefan, Mitu Ovidiu, Costache Alexandru Dan, Nicolae Ana, Iliescu-Halițchi Dan, Halițchi-Iliescu Codruța-Olimpiada, Mitu Florin, Costache Irina Iuliana
Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700145 Iasi, Romania.
Department of Cardiology, "St. Spiridon" Emergency County Hospital, 700111 Iasi, Romania.
Life (Basel). 2022 Jul 8;12(7):1015. doi: 10.3390/life12071015.
Given the possible pathophysiological links between myocardial ischemia and SARS-CoV-2 infection, several studies have focused attention on acute coronary syndromes in order to improve patients' morbidity and mortality. Understanding the pathophysiological aspects of myocardial ischemia in patients infected with SARS-CoV-2 can open a broad perspective on the proper management for each patient. The electrocardiogram (ECG) remains the easiest assessment of cardiac involvement in COVID-19 patients, due to its non-invasive profile, accessibility, low cost, and lack of radiation. The ECG changes provide insight into the patient's prognosis, indicating either the worsening of an underlying cardiac illnesses or the acute direct injury by the virus. This indicates that the ECG is an important prognostic tool that can affect the outcome of COVID-19 patients, which important to correlate its aspects with the clinical characteristics and patient's medical history. The ECG changes in myocardial ischemia include a broad spectrum in patients with COVID-19 with different cases reported of ST-segment elevation, ST-segment depression, and T wave inversion, which are associated with severe COVID-19 disease.
鉴于心肌缺血与SARS-CoV-2感染之间可能存在的病理生理联系，一些研究将重点放在急性冠状动脉综合征上，以改善患者的发病率和死亡率。了解感染SARS-CoV-2患者的心肌缺血病理生理方面，可为每个患者的恰当管理提供广阔视角。心电图（ECG）因其非侵入性、可及性、低成本和无辐射，仍然是评估COVID-19患者心脏受累情况最简单的方法。心电图变化有助于了解患者的预后，提示潜在心脏疾病的恶化或病毒的急性直接损伤。这表明心电图是一种重要的预后工具，可影响COVID-19患者的结局，将其各方面与临床特征和患者病史相关联很重要。COVID-19患者心肌缺血的心电图变化范围广泛，报道了不同病例出现ST段抬高、ST段压低和T波倒置，这些与严重的COVID-19疾病相关。
