Рекомендации ЕОК по диагностике и лечению синкопальных состояний 2018 Рабочая группа Европейского общества кардиологов (ЕОК) по диагностике и лечению синкопальных состояний Разработаны при участии Европейской ассоциации сердечного ритма (EHRA) Одобрено: Европейской академией неврологии (EAN), Европейской федерацией автономных сообществ (EFAS), Европейской федерацией по внутренним болезням (EFIM), Обществом по гериатрической медицине Евросоюза (EUGMS), Европейским обществом экстренной медицинской помощи (EuSEM)
Significance
There is growing evidence that preexisting autoantibodies neutralizing type I interferons (IFNs) are strong determinants of life-threatening COVID-19 pneumonia. It is important to estimate their quantitative impact on COVID-19 mortality upon SARS-CoV-2 infection, by age and sex, as both the prevalence of these autoantibodies and the risk of COVID-19 death increase with age and are higher in men. Using an unvaccinated sample of 1,261 deceased patients and 34,159 individuals from the general population, we found that autoantibodies against type I IFNs strongly increased the SARS-CoV-2 infection fatality rate at all ages, in both men and women. Autoantibodies against type I IFNs are strong and common predictors of life-threatening COVID-19. Testing for these autoantibodies should be considered in the general population.
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