No abstract

Out of all the cardiac manifestations of post-COVID syndrome, tachycardia has been studied to a lesser extent, while almost all patients complain of palpitations.The purpose of the study is to reveal the incidence of post-COVID tachycardia syndrome in apparently healthy patients and to evaluate the effectiveness of ivabradine in this category of patients.Materials and methods. 48 patients revealing no comorbid pathology were examined 12 or more weeks after COVID-19. Materials of instrumental research methods, functional tests, quality of life before and during treatment with ivabradine were studied.Results. In all patients included in the study, against the background of an autonomic imbalance with a predominance of the activity of the sympathetic part and deterioration in quality of life, the syndrome of post-COVID tachycardia was diagnosed, and a positive effect of ivabradine on heart rate control was revealed.Conclusion. Tachycardia can be considered a marker of post-COVID syndrome in patients who were apparently healthy before coronavirus infection; it can manifest itself in POTS, NST, or their combination, as well as be accompanied by other cardiac arrhythmias including PVC, SVE, non-sustained SVT, and persistent form of AF. Ivabradine is able to control heart rate and level the manifestations of post-COVID tachycardia syndrome.

The pandemic of a new coronavirus infection caused the need to reorganize the work of emergency medical services (EMS) due to the high contagiousness and mortality, multiple organ lesions, difficulties in diagnosis and the lack of protocols for providing medical care to patients at the prehospital stage.The purpose and objectives of the study is to assess the activities of the ambulance service in the context of a new coronavirus infection in Krasnodar.Materials and methods: data of the information base of the integrated automated system for managing the activities of the ambulance station SBIHC KEH of the Ministry of Health Care of the Krasnodar Region in Krasnodar.Results. А differentiated approach and algorithm was developed for assessing the severity of the condition in patients with COVID-infection and ARVI, their routing and organization of treatment in Krasnodar.Conclusion: an assessment of the work of the ambulance service in combination with the measures taken during the observation period will ultimately allow organizing high-quality medical care to the population.

The clinic-statistical analysis of complaints of Krasnodar citizens about the arterial hypertension according to the data of the first medical aid service has been performed to optimize the organizational and methodological approaches to prevention and medical service for population. As the material of the study the database of the complex automatic control system of emergency stations in 2015–2016 has been considered. The study has revealed that the arterial hypertension is one of the severest diseases in the structure of the cardiovascular pathologies in men of working age and older women which provides the significant working area for the first medical aid service and demands the principal reorganization in the activity of the out-patient and polyclinic departments responsible for the clinical examination of the population.

For optimization Krasnodar region medical aid service, it’s developed software global navigational control system. Medical aid team is supported with pads. The research aim: estimate of efficiency and supporting medical aid team mobile computer devices with remote access to “AWP manager” program under Krasnodar region common control room medical aid service. The development of common informational control system of medical aid and medical aid team supporting with pads are improved basic processing indices of its work: time for medical aid teams arrival is reduced, including TA; execution of the call; TA death rate indices are reduced. The development makes it possible to carry out reception, collection of information and data handling automation about the service work and standardization, sorting calls according importance and complexity, controlling the time and the quality of medical aid service and hospitalization.