medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2022-11-41-46medalphabet-2663Research ArticleСтатьиПрименение эхокардиографии у пациентов с новой коронавирусной инфекцией СOVID-19Echocardiography application in patients with COVID‑19https://orcid.org/0000-0001-6973-4430РыбалкоН. В.RybalkoN. V.

Рыбалко Наталья Владимировна, д.м.н., ведущий научный сотрудник отделения лучевой диагностики

Москва

Rybalko Natalia V., DM Sci (habil.), leading researcher at Dept of Radiation Diagnostics

Moscow

https://orcid.org/0000-0002-9669-9164ХамидоваЛ. Т.KhamidovaL. T.

Хамидова Лайлаъ Тимарбековна, д.м.н., руководитель отделения лучевой диагностики

Москва

Khamidova Layla T., DM Sci (habil.), head of Dept of Radiation Diagnostics

Moscow

https://orcid.org/0000-0002-5207-3194АбучинаВ. М.AbuchinaV. M.

Абучина Вера Михайловна, врач отделения ультразвуковой диагностики

Москва

Abuchina Vera M., physician at Dept of Ultrasound Diagnostics

Moscow

https://orcid.org/0000-0003-3292-8789ПетриковС. С.PetrikovS. S.

Петриков Сергей Сергеевич, член-корреспондент Российской академии наук (РАН), д.м.н., профессор, директор ГБУЗ Научно- исследовательского института скорой помощи им. Н.В. Склифосовского, зав. кафедрой анестезиологии, реаниматологии и неотложной медицины МГМСУ им. А.И. Евдокимова

Москва

Petrikov Sergey S., Corresponding Member of RAS, DM Sci (habil.), professor, director of ‘N.V. Sklifosovsky Research Institute for Emergency Medicine’, head of Dept of Anesthesiology, Resuscitation and Emergency Medicine at ‘A.I. Evdokimov Moscow State Medical University’

Moscow

ГБУЗ «Научно-исследовательский институт скорой помощи имени Н.В. Склифосовского»РоссияN.V. Sklifosovsky Research Institute for Emergency MedicineRussian Federation202216062022011Современная функциональная диагностика (2)4146Copyright © Рыбалко Н.В., Хамидова Л.Т., Абучина В.М., Петриков С.С., 20222022Рыбалко Н.В., Хамидова Л.Т., Абучина В.М., Петриков С.С.Rybalko N.V., Khamidova L.T., Abuchina V.M., Petrikov S.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2663

Статья освещает опыт работы врача ультразвуковой и функциональной диагностики в “красной зоне” во время пандемии новой короновирусной инфекции COVID‑19. Эхокардиография является обязательным диагностическим методом для оценки дисфункции правого желудочка и тяжести легочной гипертензии, острого вирусного миокардита и острого коронарного синдрома. Трансторакальная и чреспищеводная эхокардиография применяется для мониторинга за пациентом состоянием пациента при лечении методом экстракорпоральной мембранной оксигенации (ЭКМО) и синдроме полиорганной недостаточности.

The article highlights the experience of ultrasound and functional diagnostics imaging doctor’s work in the «red zone» at the time of new COVID‑19 coronavirus infection pandemic. Echocardiography is a valuable tool in the assessment of right ventricular disfunction and pulmonary hypertension degree, acute virus myocarditis and acute coronary syndrome. Transthoracic and transesophageal echocardiography is used to monitor the patient’s condition during treatment with extracorporeal membrane oxygenation (ECMO) and multiple organ failure syndrome.

новая короновирусная инфекция COVID‑19трансторакальная и чреспищеводная эхокардиографиялегочная гипертензияострый вирусный миокардитострый коронарный синдромЭКМОсиндром полиорганной недостаточностиnew coronavirus infection COVID‑19transthoracic and transesophageal echocardiographypulmonary hypertensionacute viral myocarditisacute coronary syndromeECMOmultiple organ failure syndromeReferencesWHO Director-General’s opening remarks at the media briefing on COVID‑19–3 May 2021. https://www.who.int/director-general/speeches/detail/directorgeneral-s-opening-remarks-at-the-media-briefing-on-covid-19–3-may-2021 (Accessed December 27, 2021).WHO Director-General’s opening remarks at the media briefing on COVID‑19–3 May 2021. https://www.who.int/director-general/speeches/detail/directorgeneral-s-opening-remarks-at-the-media-briefing-on-covid-19-3-may-2021 (Accessed December 27, 2021).Минздрав РФ. Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID‑19): временные методические рекомендации. Версия 13.1 (17.11.2021). Москва; 2021.Ministry of Health of the Russian Federation. Prevention, diagnosis and treatment of novel coronavirus infection (COVID‑19): interim guidelines. Version 13.1 (11/17/2021). Moscow; 2021.Zheng YY, Ma YT, Zhang JY, Xie X. COVID‑19 and the cardiovascular system. Nat Rev Cardiol. 2020;17(5):259–260. https://doi.org/10.1038/s41569–020–0360–5Zheng YY, Ma YT, Zhang JY, Xie X. COVID‑19 and the cardiovascular system. Nat Rev Cardiol. 2020;17(5):259–260. https://doi.org/10.1038/s41569–020–0360–5He XW, Lai JS, Cheng J, Wang MW, Liu YJ, Xiao ZC, et al. Impact of complicated myocardial injury on the clinical outcome of severe or critically ill COVID‑19 patients. Zhonghua Xin Xue Guan Bing Za Zhi. 2020;48(6):456–460. https://doi.org/10.3760/cma.j.cn112148–20200228–00137He XW, Lai JS, Cheng J, Wang MW, Liu YJ, Xiao ZC, et al. Impact of complicated myocardial injury on the clinical outcome of severe or critically ill COVID‑19 patients. Zhonghua Xin Xue Guan Bing Za Zhi. 2020;48(6):456–460. https://doi.org/10.3760/cma.j.cn112148–20200228–00137Salem R, Vallee F, Rusca M, Mebazaa A. Hemodynamic monitoring by echocardiography in the ICU: the role of the new echo techniques. Curr Opin Crit Care. 2008;14(5):561–568. https://doi.org/10.1097/MCC.0b013e32830e6d81Salem R, Vallee F, Rusca M, Mebazaa A. Hemodynamic monitoring by echocardiography in the ICU: the role of the new echo techniques. Curr Opin Crit Care. 2008;14(5):561–568. https://doi.org/10.1097/MCC.0b013e32830e6d81Konstantinides SV, Meyer G, Becattini C, Bueno H, Geersing GJ, Harjola VP, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020;41(4):543–603. https://doi.org/10.1093/eurheartj/ehz405Konstantinides SV, Meyer G, Becattini C, Bueno H, Geersing GJ, Harjola VP, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020;41(4):543–603. https://doi.org/10.1093/eurheartj/ehz405Schmiady MO, Sromicki J, Kucher N, Ouda A. Successful percutaneous thrombectomy in a patient with COVID‑19 pneumonia and acute pulmonary embolism supported by extracorporeal membran oxygenation. Eur Heart J. 2020;41(32):3107. https://doi.org/10.1093/eurheartj/ehaa403Schmiady MO, Sromicki J, Kucher N, Ouda A. Successful percutaneous thrombectomy in a patient with COVID‑19 pneumonia and acute pulmonary embolism supported by extracorporeal membran oxygenation. Eur Heart J. 2020;41(32):3107. https://doi.org/10.1093/eurheartj/ehaa403Shekar K, Badulak J, Peek G, Boeken U, Dalton HJ, Arora L, et al. Extracorporeal Life Support Organization Coronavirus Disease 2019 Interim Guidelines: A Consensus Document from an International Group of Interdisciplinary Extracorporeal Membrane Oxygenation Providers. ASAIO J. 2020;66(7):707–721. https://doi.org/10.1097/MAT.0000000000001193Shekar K, Badulak J, Peek G, Boeken U, Dalton HJ, Arora L, et al. Extracorporeal Life Support Organization Coronavirus Disease 2019 Interim Guidelines: A Consensus Document from an International Group of Interdisciplinary Extracorporeal Membrane Oxygenation Providers. ASAIO J. 2020;66(7):707–721. https://doi.org/10.1097/MAT.0000000000001193Osho AA, Moonsamy P, Hibbert KA, Shelton KT, Trahanas JM, Attia RQ, et al. Veno-venous Extracorporeal Membrane Oxygenation for Respiratory Failure in COVID‑19 Patients: Early Experience from a Major Academic Medical Center in North America. Ann Surg. 2020;272(2): e75-e78. https://doi.org/10.1097/SLA.0000000000004084Osho AA, Moonsamy P, Hibbert KA, Shelton KT, Trahanas JM, Attia RQ, et al. Veno-venous Extracorporeal Membrane Oxygenation for Respiratory Failure in COVID‑19 Patients: Early Experience from a Major Academic Medical Center in North America. Ann Surg. 2020;272(2): e75-e78. https://doi.org/10.1097/SLA.0000000000004084Hendren NS, Drazner MH, Bozkurt B, Cooper LT Jr. Description and Proposed Management of the Acute COVID‑19 Cardiovascular Syndrome. Circulation. 2020;141(23):1903–1914. https://doi.org/10.1161/CIRCULATIONAHA.120.047349Hendren NS, Drazner MH, Bozkurt B, Cooper LT Jr. Description and Proposed Management of the Acute COVID‑19 Cardiovascular Syndrome. Circulation. 2020;141(23):1903–1914. https://doi.org/10.1161/CIRCULATIONAHA.120.047349Pollack A, Kontorovich AR, Fuster V, Dec GW. Viral myocarditis – diagnosis, treatment options and current controversies. Nat Rev Cardiol. 2015;12(11):670–680. https://doi.org/10.1038/nrcardio.2015.108Pollack A, Kontorovich AR, Fuster V, Dec GW. Viral myocarditis – diagnosis, treatment options and current controversies. Nat Rev Cardiol. 2015;12(11):670–680. https://doi.org/10.1038/nrcardio.2015.108Inciardi RM, Lupi L, Zaccone G, Italia L, Raffo M, Tomasoni D, et al. Cardiac involvement in a patient with coronavirus disease 2019 (COVID‑19). JAMA Cardiol. 2020;5(7):819–824. https://doi.org/10.1001/jamacardio.2020.1096Inciardi RM, Lupi L, Zaccone G, Italia L, Raffo M, Tomasoni D, et al. Cardiac involvement in a patient with coronavirus disease 2019 (COVID‑19). JAMA Cardiol. 2020;5(7):819–824. https://doi.org/10.1001/jamacardio.2020.1096Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV‑2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med 2020;8(5):475–481. https://doi.org/10.1016/S2213–2600(20)30079–5Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV‑2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med 2020;8(5):475–481. https://doi.org/10.1016/S2213–2600(20)30079–5Kirkpatrick JN, Mitchell C, Taub C, Kort S, Hung J, Swaminathan M. ASE statement on protection of patients and echocardiography service providers during the 2019 novel coronavirus outbreak. J Am Coll Cardio. 2020;75(24):3078–3084. https://doi.org/10.1016/j.jacc.2020.04.002Kirkpatrick JN, Mitchell C, Taub C, Kort S, Hung J, Swaminathan M. ASE statement on protection of patients and echocardiography service providers during the 2019 novel coronavirus outbreak. J Am Coll Cardio. 2020;75(24):3078–3084. https://doi.org/10.1016/j.jacc.2020.04.002Bagate F, Masi P, d’Humières T, Al-Assaad L. Advanced echocardiographic phenotyping of critically ill patients with coronavirus‑19 sepsis: a prospective cohort study. Journal of Intensive Care. 2021; 9(12)Bagate F, Masi P, d’Humières T, Al-Assaad L. Advanced echocardiographic phenotyping of critically ill patients with coronavirus‑19 sepsis: a prospective cohort study. Journal of Intensive Care. 2021; 9(12)Clerkin KJ, Fried JA, Raikhelkar J, Sayer G, Griffin JM, Masoumi A, et al. Coronavirus disease 2019 (COVID‑19) and cardiovascular disease. Circulation. 2020;141(20):1648–1655.Clerkin KJ, Fried JA, Raikhelkar J, Sayer G, Griffin JM, Masoumi A, et al. Coronavirus disease 2019 (COVID‑19) and cardiovascular disease. Circulation. 2020;141(20):1648–1655.Valente S, Anselmi F, Cameli M. Acute coronary syndromes during COVID‑19. Eur Heart J. 2020;41(22):2047–2049. https://doi.org/10.1093/eurheartj/ehaa457Valente S, Anselmi F, Cameli M. Acute coronary syndromes during COVID‑19. Eur Heart J. 2020;41(22):2047–2049. https://doi.org/10.1093/eurheartj/ehaa457Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID‑19). JAMA Cardiol. 2020;5(7):811–818. https://doi.org/10.1001/jamacardio.2020.1017Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID‑19). JAMA Cardiol. 2020;5(7):811–818. https://doi.org/10.1001/jamacardio.2020.1017

The authors declare that there are no conflicts of interest present.