Acute Myocardial Infarction Complicating Coronavirus Infection (Case Report)

Davydova, L. A.; Остапченко, Д. А.; Царенко, С. В.; Гутников, А. И.; Arbolishvili, G. N.; Kovzel, V. A.

doi:10.15360/1813-9779-2022-5-18-23

Cited by 3 publications

(2 citation statements)

References 44 publications

(48 reference statements)

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“…When comparing the frequency of the studied parameters in the groups of patients with and without thrombotic complications (Table 5), we found that patients with thrombotic complications had a longer hospital stay (11)(12)(13)(14)(15)(16) The statistically significant results are highlighted in bold. 1 Student's t-test; 2 Mann-Whitney U test, 3 Chi-square test; 4 Fisher's exact test; 5 Fisher-Freeman-Halton exact test.…”

Section: Predictors Of Thrombotic Complicationsmentioning

confidence: 99%

“…Although COVID-19 is a respiratory disease and the lung is the target organ of SARS-CoV-2, extrapulmonary complications have been reported in both clinical and pathological studies. Cardiovascular, neurological, gastrointestinal, renal, hepatic, and other complications have been described [ 2 , 3 ]. Since early 2020, there have been increasing reports of hypercoagulable state, especially leading to venous thromboembolism (VTE), in patients with COVID-19 [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Spectrum of Thrombotic Complications in Fatal Cases of COVID-19: Focus on Pulmonary Artery Thrombosis In Situ

Babkina

Yadgarov

Волков

et al. 2023

Viruses

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COVID-19-related thrombosis affects the venous and arterial systems. Data from 156 autopsies of COVID-19 patients were retrospectively analyzed to investigate the pattern of thrombotic complications and factors associated with pulmonary artery thrombosis and thromboembolism. Thrombotic complications were observed in a significant proportion (n = 68, 44%), with pulmonary artery thrombosis the most frequently identified thrombotic event (42, 27%). Multivariate analysis revealed that the length of hospital stay (OR 1.1, p = 0.004), neutrophil infiltration in the alveolar spaces (OR 3.6, p = 0.002), and the absence of hyaline membranes (OR 0.1, p = 0.01) were associated with thrombotic complications. Neutrophil infiltration in the alveolar spaces (OR 8, p < 0.001) and the absence of hyaline membranes (OR 0.1, p = 0.003) were also independent predictors of pulmonary artery thrombosis. The association of pulmonary artery thrombosis with an absence of hyaline membranes suggests it occurs later in the course of COVID-19 infection. As neutrophil infiltration in the alveolar spaces may indicate bacterial infection, our studies suggest the consideration of bacterial infections in these critically ill patients.

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Section: Predictors Of Thrombotic Complicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Spectrum of Thrombotic Complications in Fatal Cases of COVID-19: Focus on Pulmonary Artery Thrombosis In Situ

Babkina

Yadgarov

Волков

et al. 2023

Viruses

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Dynamics and structure of mortality from chronic coronary artery disease among men and women in the Russian Federation in 2014-2023

Shepel,

Samorodskaya,

Kakorina

et al. 2024

Russ J Cardiol

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Aim. To assess the dynamics of non-standardized (NSMR) and standardized mortality rates (SMR) of chronic coronary artery disease (CAD), the contribution to all-cause mortality, as well as the dynamics and structure of chronic CAD among men and women in the Russian Federation in 2014-2023.Material and methods. Rosstat data on mortality in one-year age groups of patients for 2014-2023 in accordance with the Rosstat Brief Nomenclature of Death Causes. The calculations were performed using the program (certificate of state registration of the computer program dated September 30, 2016, № 201666114). The European standard (European Standard Population, 1976) was used to calculate the SMR.Results. A decrease in the SMR from chronic CAD was found in both women (2014 — 147,6 per 100 thousand population, 2023 — 126 per 100 thousand population) and men (2014 — 275 per 100 thousand population, 2023 — 221 per 100 thousand population). The NCMR differences in men and women did not exceed 5%, while the SMR from chronic CAD differed by almost 2 times due to the age disproportion (in age ≥80 years in women, there were 60% of deaths from chronic CAD, while in men — 23,6%). The proportion of chronic CAD in all-cause mortality in men was 23,9%, while in women — 23,4%. The highest values of SMR were recorded from "I25.1 Atherosclerotic heart disease" (the proportion in the chronic CAD structure in 2014 in women — 64,5%, in men — 56,8%; in 2023 — 60,4% and 51,4%, respectively). In both men and women, the SMR and the proportion of "I25.2-6,8 Other forms of chronic CAD" in the structure of SMR from chronic CAD increased (in 2014 in women — 21,5%, in men — 29,3%, in 2023 — 37% and 46%, respectively). The SMR from I25.0 and I25.9 significantly decreased, amounting to <4% in the structure of chronic CAD in both men and women in 2023.Conclusion. The obtained results indicate problems with defining individual forms of chronic CAD as the underlying cause of death, which complicates understanding the death causes. It is necessary to consider creating uniform guidelines for the Russian Federation, where the classification of chronic CAD according to ICD-10 would be adapted to the clinical terminology and the most probable clinical variants, as well as the main principles of morphological classification. Typification of coding approaches will serve to improve the quality of analysis of chronic CAD mortality statistics data and subsequent adoption of targeted management decisions.

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The role of hereditary thrombophilia in the development of venous thrombosis in combat trauma

Salukhov,

Gavrilov,

Varavin

et al. 2023

Medicinskij sovet

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Introduction. The study of myocardial damage in COVID-19 and hemorrhagic fever with renal syndrome (HFRS) is relevant, especially for HFRS-endemic regions. Aim. Comparative study of clinical and electrocardiographic signs of myocardial damage in HFRS and COVID-19. Materials and methods. A retrospective comparative analysis of clinical data, ECG and troponin test was performed in patients with HFRS (n = 62) and patients with COVID-19 (n = 30) of moderate and severe forms. Results. The heart rate (HR) in the group of patients with HFRS is less than in the COVID-19 group (p < 0.05). The average value of systolic blood pressure in both groups refers to normotension, in the group of patients with HFRS is significantly lower than the same indicator in the group of COVID-19 patients. According to the results of an ECG study of patients with COVID-19 (n = 30), sinus rhythm was observed in 30 (100%), sinus tachycardia – in 2 (6.6%), sinus bradycardia – in 6 (20%), while differences in the frequency of sinus bradycardia in comparison with patients with HFRS are statistically significant. AV blockade of the 1st degree is observed in both diseases, in the group of HFRS with a higher frequency, but the differences are unreliable. Prolongation of the QT interval was found in patients in both groups, with coronavirus infection (13.3%) more often than with hantavirus infection (3%), the differences are statistically insignificant. ECG in patients with HFRS with lung damage shows signs of overload of the right atrium, unlike in patients with COVID-19. Troponin was positive in two patients in each group: two patients with HFRS had myocarditis, one patient with COVID-19 had acute coronary syndrome. Conclusion. Myocardial damage in both hantavirus and new coronavirus infections has common features due to a systemic inflammatory reaction, electrolyte disorders, and significant differences.

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Acute Myocardial Infarction Complicating Coronavirus Infection (Case Report)

Cited by 3 publications

References 44 publications

Spectrum of Thrombotic Complications in Fatal Cases of COVID-19: Focus on Pulmonary Artery Thrombosis In Situ

Spectrum of Thrombotic Complications in Fatal Cases of COVID-19: Focus on Pulmonary Artery Thrombosis In Situ

Dynamics and structure of mortality from chronic coronary artery disease among men and women in the Russian Federation in 2014-2023

The role of hereditary thrombophilia in the development of venous thrombosis in combat trauma

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