Amakuru

Nubwo COVID yamara igihe kirekire ifite amayobera menshi, abashakashatsi babonye ibimenyetso byerekana ibimenyetso byumutima bikunze kugaragara muri aba barwayi, byerekana ko guhorana umuriro ari umuhuza.
Mu itsinda ry’abarwayi 346 bafite ubuzima bwiza bwa COVID-19, abenshi muri bo bakomeje kuba ibimenyetso nyuma y’umuhuza w’amezi agera kuri 4, kuzamuka kwa biomarkers y’indwara zifata umutima ndetse n’imvune z'umutima cyangwa imikorere mibi ntibyari gake.
Ariko hari ibimenyetso byinshi by’ibibazo by’umutima, nk'uko byatangajwe na Valentina O. Puntmann, MD, Ibitaro bya Kaminuza bya Frankfurt, mu Budage, na bagenzi be bo mu buvuzi bw’ibidukikije.
Ugereranije no kutandura, abarwayi ba COVID bari bafite umuvuduko ukabije wamaraso wa diastolique, biyongera cyane inkovu zitari ischemic myocardial bitewe no kwiyongera kwa gadolinium, gutahura bitari hemodinamike bifitanye isano na pericardial effusion, hamwe na pericardial effusion.<0,001). <0.001).
Byongeye kandi, 73% by’abarwayi ba COVID-19 bafite ibimenyetso byumutima bari bafite ikarita yerekana ikarita yumutima ya MRI (CMR) kurusha abantu badafite ibimenyetso, ibyo bikaba byerekana ko ikwirakwizwa rya myocardial inflammation hamwe no gukwirakwiza kwinshi kwa pericardial.
Uyu munsi, Puntmann yabwiye MedPage ati: "Ibyo tubona ni byiza."Ati: “Aba ni abarwayi basanzwe.”
Bitandukanye nibisanzwe bikekwa ko ari ikibazo cyumutima hamwe na COVID-19, ibisubizo biratanga ubushishozi ko abarwayi bafite ibibazo byumutima byabanje kubaho mubitaro bafite uburwayi bukomeye ningaruka.
Itsinda rya Puntman ryize abantu badafite ibibazo byumutima kugirango bagerageze kumva ingaruka za COVID-19 ubwayo, bakoresheje amashusho yo mu rwego rwa MRI amashusho y’abarwayi binjiye mu mavuriro yabo babinyujije ku baganga b’imiryango, ibigo nderabuzima, ibikoresho byamamaza byatanzwe n’abarwayi kuri interineti.Amatsinda n'imbuga..
Puntmann yavuze ko nubwo iri ari itsinda ryatoranijwe ry’abarwayi badashobora guhagararira indwara zoroheje za COVID-19, ntibisanzwe ko aba barwayi bashaka ibisubizo by’ibimenyetso byabo.
Ubushakashatsi bwakozwe na leta bwerekana ko 19 ku ijana byabanyamerika bakuze banduye COVID bafite ibimenyetso byamezi 3 cyangwa arenga nyuma yo kwandura.Muri ubu bushakashatsi, ubushakashatsi bwakorewe impuzandengo y'amezi 11 nyuma yo gusuzuma COVID-19 yerekanye ibimenyetso by'umutima bikomeje kuri 57% by'abitabiriye.Abagumye bafite ibimenyetso bafite indwara ya myocardial edema kurusha abakize cyangwa batigeze bagaragaza ibimenyetso (T2 37.9 vs 37.4 na 37.5 ms, P = 0.04).
Mu kiganiro Pontman yagize ati: "Uruhare rw'umutima ni igice cy'ingenzi mu kwerekana igihe kirekire COVID - bityo rero dyspnea, kutoroherana imbaraga, tachycardia".
Itsinda rye ryanzuye ko ibimenyetso by’umutima babonye “bifitanye isano no gukomeretsa indwara y’umutima, ibyo bikaba bishobora gusobanura byibuze igice cy’imiterere y’imiterere y’ibimenyetso by’umutima bikomeje.Ikigaragara ni uko igikomere gikomeye cya myocardial cyangwa indwara z'umutima zubatswe atari ibintu byahozeho kandi ibimenyetso ntibihuye n'ubusobanuro bwa kera bwa virusi ya myocarditis. ”
Umuganga w’umutima n’umurwayi wa COVID igihe kirekire Alice A. Perlowski, MD, yerekanye ingaruka z’amavuriro yifashishije urubuga rwa interineti agira ati: “Ubu bushakashatsi bwerekana uburyo ibinyabuzima gakondo (muri iki gihe CRP, calcine imitsi, NT-proBNP) bidashobora kuvuga inkuru yose. ”., #LongCovid, nizere ko abaganga bose babona aba barwayi mu myitozo bakemura iyi ngingo ikomeye. ”
Mu bantu 346 bakuze bafite COVID-19 (bivuze imyaka 43.3, abagore 52%) bapimwe mu kigo kimwe hagati ya Mata 2020 na Ukwakira 2021, hagati y’iminsi 109 nyuma yo kugaragara, ibimenyetso by’umutima byakunze kugaragara ni ukubura imyitozo yo guhumeka (62%) ), palpitations (28%), kubabara mu gatuza bidasanzwe (27%), na syncope (3%).
Puntmann yagize ati: "Kumenya ibibera hamwe no kwipimisha umutima bisanzwe ni ikibazo kuko biragoye kubona ibintu bidasanzwe."“Igice cyacyo kijyanye na patrophysiologiya iri inyuma yacyo… Nubwo imikorere yabo yaba ihungabanye, ntabwo ari ibintu bitangaje kuko bishyura tachycardia n'umutima wishimye cyane.Ntabwo rero twababonye mu cyiciro cyangiritse. ”
Iri tsinda rirateganya gukomeza gukurikira abo barwayi mu gihe kirekire kugira ngo basobanukirwe n’ingaruka zishobora kuvurwa n’amavuriro, batinya ko “rishobora gutangaza umutwaro ukomeye w’umutima utera mu myaka,” nk'uko urubuga rw’ikigo rubitangaza.Iri tsinda ryatangije kandi ubushakashatsi bugenzurwa na MYOFLAME-19 kugira ngo hamenyekane imiti igabanya ubukana n’ibiyobyabwenge bikora kuri sisitemu ya renin-angiotensin muri aba baturage.
Ubushakashatsi bwabo bwarimo gusa abarwayi badafite indwara z'umutima zizwi mbere, ibitera indwara, cyangwa ibizamini bidasanzwe by'ibihaha kuri baseline kandi batigeze bajyanwa mu bitaro kubera COVID-19 ikaze.
Abandi barwayi 95 bari ku ivuriro batigeze bagira COVID-19 kandi badafite indwara z'umutima zizwi cyangwa indwara ziterwa no gukoreshwa.Mu gihe abashakashatsi bemeje ko hashobora kubaho itandukaniro ritamenyekana ugereranije n’abarwayi ba COVID, bagaragaje ko gukwirakwiza ingaruka ziterwa n’imyaka, igitsina, n'indwara z'umutima.
Mu barwayi bafite ibimenyetso bya COVID, abenshi bari boroheje cyangwa bashyira mu gaciro (38% na 33%), naho icyenda (3%) bonyine ni bo bagaragaje ibimenyetso bikomeye bigabanya ibikorwa bya buri munsi.
Ibintu byerekana ubwigenge ibimenyetso byumutima kuva scan scan kugeza rescan byibuze amezi 4 (hagati yiminsi 329 nyuma yo kwisuzumisha) byari igitsina gore kandi bikwirakwiza uruhare rwa myocardial kuri baseline.
Itsinda rya Puntman ryanditse riti: "Ikigaragara ni uko kubera ko ubushakashatsi bwacu bwibanze ku bantu barwaye indwara ya COVID, ntabwo bwatangaje ko hagaragaye ibimenyetso by'umutima nyuma ya COVID".“Icyakora, itanga amakuru y'ingenzi ku bijyanye n'imiterere yabyo ndetse n'ubwihindurize.”
Puntmann hamwe n’umwanditsi umwe bagaragaje amafaranga yo kuvuga muri Bayer na Siemens, ndetse n’inkunga yatanzwe na Bayer na NeoSoft.
Inkomoko yatanzwe: Puntmann VO et al “Indwara ndende yumutima yumutima kubantu bafite indwara ya COVID-19 yoroheje”, Kamere Med 2022;DOI: 10.1038 / s41591-022-02000-0.
Ibikoresho kururu rubuga bigamije amakuru gusa kandi ntibisimbuza inama zubuvuzi, kwisuzumisha, cyangwa ubuvuzi butangwa nubuvuzi bwujuje ibyangombwa.© 2022 MedPage Uyu munsi LLC.Uburenganzira bwose burabitswe.Medpage Uyu munsi nimwe mubirango byemewe na MedPage Uyu munsi, LLC kandi ntibishobora gukoreshwa nabandi bantu batabiherewe uburenganzira.