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多学科方法在治疗新冠病毒病合并心力衰竭及凝血功能障碍患者中的作用

The Role of Multidisciplinary Approaches in the Treatment of Patients with Heart Failure and Coagulopathy of COVID-19.

作者信息

Gryglewska-Wawrzak Katarzyna, Cienkowski Krzysztof, Cienkowska Alicja, Banach Maciej, Bielecka-Dabrowa Agata

机构信息

Department of Cardiology and Congenital Diseases of Adults, Polish Mother's Memorial Hospital Research Institute (PMMHRI), 93338 Lodz, Poland.

Faculty of Medicine, Medical University of Lodz, 90419 Lodz, Poland.

出版信息

J Cardiovasc Dev Dis. 2023 Jun 3;10(6):245. doi: 10.3390/jcdd10060245.

Abstract

Coronavirus disease 2019 (COVID-19) is a severe respiratory syndrome caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Heart failure (HF) is associated with a worse prognosis for patients with this viral infection, highlighting the importance of early detection and effective treatment strategies. HF can also be a consequence of COVID-19-related myocardial damage. To optimise the treatment of these patients, one needs to understand the interactions between this disease and viruses. Until now, the validity of the screening for cardiovascular complications after COVID-19 has not been confirmed. There were also no patients in whom such diagnostics seemed appropriate. Until appropriate recommendations are made, diagnosis procedures must be individualised based on the course of the acute phase and clinical symptoms reported or submitted after COVID-19. Clinical phenomena are the criteria for determining the recommended test panel. We present a structured approach to COVID-19 patients with heart involvement.

摘要

2019冠状病毒病(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的一种严重呼吸系统综合征。心力衰竭(HF)与这种病毒感染患者的预后较差有关,这凸显了早期检测和有效治疗策略的重要性。HF也可能是COVID-19相关心肌损伤的结果。为了优化这些患者的治疗,需要了解这种疾病与病毒之间的相互作用。到目前为止,COVID-19后心血管并发症筛查的有效性尚未得到证实。也没有患者似乎适合进行此类诊断。在提出适当建议之前,诊断程序必须根据急性期病程以及COVID-19后报告或提交的临床症状进行个体化。临床现象是确定推荐检测项目的标准。我们提出了一种针对有心脏受累的COVID-19患者的结构化方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2665/10299062/c7b918c9fc63/jcdd-10-00245-g001.jpg

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