rospedРоссийский педиатрический журнал имени М.Я. СтуденикинаM.Ya. Studenikin Russian Pediatric JournalФГАУ «НМИЦ здоровья детей» Минздрава России10.46563/1560-9561-2023-26-4-290-295msggtkrosped-50Research ArticleОБЗОРЫREVIEWSЭлектрокардиограмма при COVID-19 у детейElectrocardiogram in COVID-19 childrenhttps://orcid.org/0000-0001-8562-6851КожевниковаОльга ВикторовнаKozhevnikovaOlga V.

Доктор мед. наук, зав. отд-нием инструментальной диагностики, гл. науч. сотр. лаб. лучевой и инструментальной диагностики ФГАУ «НМИЦ здоровья детей» Минздрава России.

e-mail: fd@nczd.ru

MD, PhD, DSci, Head of the department of instrumental Diagnostics, chief researcher of the Laboratory of radiation and instrumental diagnostics, National Medical Research Center for Children’s Health, Moscow, 119991, Russian Federation.

e-mail: fd@nczd.ru

fd@nczd.ruhttps://orcid.org/0009-0000-7391-7598БлажеевскаяТамара ОлеговнаBlazheevskayaTamara O.

Врач-ординатор, отделение инструментальной диагностики по специальности функциональная диагностика, ФГАУ «НМИЦ здоровья детей» Минздрава России.

noemail@neicon.ruРахимоваАнна НиколаевнаRakhimovaAnna N.

Канд. мед. наук, врач-кардиолог, консультативно-диагностический центр, ФГАУ «НМИЦ здоровья детей» Минздрава России.

noemail@neicon.ruhttps://orcid.org/0000-0002-7529-2541АхмедоваЭлина ЭльдаровнаAkhmedovaElina E.

Врач функциональной диагностики, отделение инструментальной диагностики, ФГАУ «НМИЦ здоровья детей» Минздрава России.

noemail@neicon.ruhttps://orcid.org/0000-0002-5366-894XАбашидзеЭка АмирановнаAbashidzeEka A.

Канд. мед. наук, ст. науч. сотр., врач функциональной диагностики, отделение инструментальной диагностики, ФГАУ «НМИЦ здоровья детей» Минздрава России.

noemail@neicon.ruФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава РоссииNational Medical Research Center for Children’s Health of the Ministry of Health of RussiaФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава РоссииФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава РоссииNational Medical Research Center for Children’s Health of the Ministry of Health of Russia202313092023264290295Copyright © Кожевникова О.В., Блажеевская Т.О., Рахимова А.Н., Ахмедова Э.Э., Абашидзе Э.А., 20232023Кожевникова О.В., Блажеевская Т.О., Рахимова А.Н., Ахмедова Э.Э., Абашидзе Э.А.Kozhevnikova O.V., Blazheevskaya T.O., Rakhimova A.N., Akhmedova E.E., Abashidze E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rosped.ru/jour/article/view/50

Описаны различные варианты клинических проявлений коронавирусной инфекции, отражающие тяжесть течения заболевания — от лёгких форм до тяжёлого острого респираторного синдрома, развития мультисистемного гипервоспалительного синдрома с высокой вероятностью летального исхода. Появилось понимание того, что, наряду с вирусной инфекцией, COVID-19 является кардиореспираторным заболеванием. При поражении дыхательной системы часто регистрируются нарушения функционирования сердечно-сосудистой системы. Поражения сердца выявляются в 17–75% случаев и связаны с повреждением миокарда вирусом SARS-CoV-2. Информативным и доступным методом обследования при СOVID-19 у детей является электрокардиография (ЭКГ), которая применялась в комплексе с телемедицинскими технологиями. Длительно сохраняющиеся изменения структуры и функции сердца в период реконвалесценции требуют индивидуального подхода к реабилитации. В обзоре представлены анализ и интерпретация данных об изменениях ЭКГ у детей, больных СOVID-19, обсуждаются закономерности электрофизиологических нарушений при COVID-19 у детей и взрослых.

Заключение

Заключение. Эффективные методы диагностики поражений сердца у детей не определены, а применяемые ЭКГ и эхокардиография не имеют специфических маркеров для диагностики патологии сердца при COVID-19. Поэтому необходимо использовать имеющиеся знания для оптимизации алгоритмов реабилитации детей в период реконвалесценции.

Участие авторов

Участие авторов:Кожевникова О.В. — концепция и дизайн исследования;Блажеевская Т.О., Рахимова А.Н., Ахмедова Э.Э., Абашидзе Э.А. — сбор и обработка материала;Кожевникова О.В., Блажеевская Т.О. — написание текста;Кожевникова О.В. — редактирование.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Финансирование

Финансирование. Исследование не имело финансовой поддержки.

Конфликт интересов

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Поступила 05

Поступила 05.06.2023Принята к печати 20.06.2023Опубликована 31.08.2023

There are described various variants of the clinical manifestations of coronavirus infection, reflecting the severity of the course of the disease from mild forms to severe acute respiratory syndrome, the development of a multisystem hyperinflammatory syndrome with a high probability of death. There is an understanding that, along with a viral infection, COVID-19 is a cardiorespiratory disease. With the defeat of the respiratory system, violations of the functioning of the cardiovascular system are often recorded. Heart lesions detected in 17–75% of cases are associated with myocardial damage by the SARS-CoV-2 virus.  An informative and accessible method of examination for COVID-19 in children is electrocardiography (ECG), used in combination with telemedicine technologies. Long-lasting changes in the structure and function of the heart during convalescence require an individual approach to rehabilitation. The review presents the analysis and interpretation of data on ECG changes in COVID-19 children, discusses the patterns of electrophysiological disorders in COVID-19 children and adults.

Conclusion

Conclusion. Effective methods for diagnosing heart lesions in children have not been defined, and the ECG and echocardiography used do not have specific markers for diagnosing cardiac pathology in COVID-19. Therefore, it is necessary to use the available knowledge to optimize the algorithms for the rehabilitation of children in the period of convalescence.

Contribution

Contribution:Kozhevnikova O.V. — concept and design of the study;Blazhievskaya T.O., Rakhimova A.N., Akhmedova E.E., Abashidze E.A. — collection and processing of the material;Kozhevnikova O.V., Blazhievskaya T.O. — writing the text;Kozhevnikova O.V. — editing the text.All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: June 05, 2023Accepted: June 20, 2023Published: August 31, 2023

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