Пандемия COVID-19 и сердечно-сосудистые заболевания
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Анотація
Всемирная организация здравоохранения 11 марта 2020 года объявила о том, что коронавирусная болезнь 2019 года (COVID-19) является глобальной пандемией. Представлены данные исследований, подтверждающих, что сердечно-сосудистые заболевания – распространенная сопутствующая патология среди пациентов с COVID-19, а пациенты с сердечно-сосудистыми заболеваниями имеют более тяжелое течение и высокую летальность. Выявлен механизм взаимодействия между COVID-19 и сердечно-сосудистыми заболеваниями. Во-первых, ангиотензинпревращающий фермент 2 – ключевой фермент в ренин-ангиотензин-альдостероновой системе, признан функциональным рецептором SARS-CoV-2. Во-вторых, было доказано, что SARS-CoV-2 через цитокиновый механизм вызывает прямое повреждение миокарда и может нарушать функцию сердечно-сосудистой системы. В статье освещается необходимость дальнейшего приема ингибиторов ангиотензинпревращающего фермента и блокаторов ангиотензиновых рецепторов при лечении пациентов с артериальной гипертензией, ишемической болезнью сердца и сердечной недостаточностью, а также представлены рекомендации оказания ургентной и неотложной помощи пациентам кардиологического профиля в условиях пандемии COVID-19.
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