Russian MedicineRussian MedicineРоссийский медицинский журнал0869-21062412-9100Eco-Vector62997510.17816/medjrf629975ReviewsНаучные обзорыReview ArticleRight heart status in patients with COVID-19: a literature reviewСостояние правых отделов сердца у пациентов с COVID-19. Обзор литературыhttps://orcid.org/0000-0002-3863-67552656-1420KarasevAnton A.КарасёвАнтон Андреевич
Russian Federation
akara95_2010@mail.ruhttps://orcid.org/0000-0001-9803-21392863-4840PoteshkinaNatalia G.ПотешкинаНаталия Георгиевна
Russian Federation

MD, Dr. Sci. (Medicine), professor

д-р мед. наук, профессор

nat-pa@yandex.ruhttps://orcid.org/0000-0002-2636-25583887-6250LysenkoMaryana A.ЛысенкоМарьяна Анатольевна
Russian Federation

MD, Dr. Sci. (Medicine)

д-р мед. наук

lysenkoma@zdrav.mos.ruhttps://orcid.org/0000-0003-0310-07714867-9400KrylovaNatalia S.КрыловаНаталья Сергеевна
Russian Federation

MD, Cand. Sci. (Medicine), associate professor

канд. мед. наук, доцент

krylova_n@list.ruhttps://orcid.org/0000-0003-0566-663X5271-4528SvanadzeAnna M.СванадзеАнна Мурадовна
Russian Federation

MD, Cand. Sci. (Medicine), associate professor

канд. мед. наук, доцент

asvanadze@mail.ruhttps://orcid.org/0000-0002-3687-24126993-0920MaslovaMaria Y.МасловаМария Юрьевна
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

m.unoemezzo@gmail.comhttps://orcid.org/0000-0002-2266-14975339-8420BeloglazovaIrina P.БелоглазоваИрина Павловна
Russian Federation

MD, Cand. Sci. (Medicine), associate professor

канд. мед. наук, доцент

beloglazova.irina@gmail.comN.I. Pirogov Russian National Research Medical UniversityРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаClinical Hospital No. 52, MoscowГородская клиническая больница № 52, Москва08062024100720243032602710404202415052024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-Вектор2024Eco-VectorЭко-Векторhttps://medjrf.com/0869-2106/article/view/629975

The COVID-19 pandemic has placed unprecedented strain on healthcare worldwide. Considering that the main pathophysiological processes causing the severe and extremely severe course of the disease are COVID-19-associated pneumonia and hypercoagulation, the hemodynamics of pulmonary circulation and the right heart was of particular concern. Echocardiography has become the main method for assessing the condition of the right heart in COVID-19 patients, owing to its availability and speed of the investigation. However, echocardiographic assessment of the right heart is challenging, and data in the available literature are conflicting.

The functioning of the right parts of the heart regarding normality and in conditions of COVID-19 infection is shown. The results of studies aimed at assessing the structural, hemodynamic, and functional parameters of the right heart during the acute course of the disease and in the long-term period — from a month to a year — were studied. Currently, there is no consensus on the effect of COVID-19 on the condition of the right side of the heart in the long term and, accordingly, further monitoring of patients who have had COVID-19, especially severe and extremely severe cases, is required.

Пандемия COVID-19 стала беспрецедентной по степени нагрузки на системы здравоохранения всех стран. С учётом того факта, что основными патофизиологическими процессами, обусловливающими тяжёлое и крайне тяжёлое течение заболевания, служат COVID-19-ассоциированная пневмония и гиперкоагуляционное состояние гемостаза, особую настороженность вызывает состояние гемодинамики малого круга кровообращения и правых отделов сердца. Основным методом оценки состояния правых отделов сердца у пациентов с COVID-19 является эхокардиография ввиду доступности и высокой скорости выполнения исследования. При этом эхокардиографическая оценка правых отделов сердца сложна, в доступной литературе имеются противоречивые данные.

Показано функционирование правых отделов сердца в аспекте нормы и в условиях инфицирования COVID-19. Изучены результаты исследований, посвящённых оценке структурных, гемодинамических и функциональных параметров правых отделов сердца как в остром течении заболевания, так и в отдалённом периоде — от месяца до года. Продемонстрировано, что на данный момент нет консенсуса о влиянии COVID-19 на состояние правых отделов сердца в отдалённом периоде и, соответственно, требуется дальнейшее наблюдение за пациентами, перенёсшими COVID-19, особенно тяжёлого и крайне тяжёлого течения.

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