Xov xwm

Thaum lub sij hawm ntev COVID tuav ntau yam tsis meej, cov kws tshawb fawb tau pom cov lus qhia rau cov tsos mob plawv hauv cov neeg mob no, qhia tias qhov mob tsis tu ncua yog tus neeg nruab nrab.
Hauv ib pawg ntawm 346 tus neeg mob COVID-19 yav dhau los noj qab haus huv, feem ntau ntawm cov neeg mob tseem muaj cov tsos mob tom qab qhov nruab nrab ntawm 4 lub hlis, qhov nce hauv biomarkers ntawm cov kab mob hauv lub plawv thiab mob plawv lossis kev ua haujlwm tsis tshua muaj tsawg.
Tab sis muaj ntau yam cim qhia ntawm cov teeb meem hauv plawv subclinical, qhia Valentina O. Puntmann, MD, University Hospital Frankfurt, Lub teb chaws Yelemees, thiab nws cov npoj yaig ntawm Nature Medicine.
Piv nrog rau cov kev tswj tsis muaj kab mob, cov neeg mob COVID muaj cov ntshav siab diastolic ntau dua, ua rau muaj qhov tsis zoo ntawm myocardial caws pliav vim kev txhim kho gadolinium lig, kuaj pom tsis muaj hemodynamically cuam tshuam nrog pericardial effusion, thiab pericardial effusion.<0,001). <0.001).
Tsis tas li ntawd, 73% ntawm COVID-19 cov neeg mob uas muaj cov tsos mob ntawm lub plawv muaj ntau dua plawv MRI (CMR) daim ntawv qhia qhov tseem ceeb tshaj li cov neeg asymptomatic, qhia tias muaj mob myocardial o thiab ntau dua ntawm qhov sib txawv ntawm pericardial.
Puntmann hais rau MedPage Hnub no tias "Qhov peb pom yog qhov tsis zoo,""Cov no yog cov neeg mob yav dhau los."
Hauv qhov sib piv rau qhov uas feem ntau xav tias yog teeb meem plawv nrog COVID-19, cov txiaj ntsig no muab kev pom tias cov neeg mob uas muaj teeb meem plawv ua ntej muaj feem ntau yuav mus pw hauv tsev kho mob nrog mob hnyav thiab qhov tshwm sim.
Puntman pawg tau kawm cov tib neeg uas tsis muaj teeb meem hauv lub plawv los sim nkag siab txog qhov cuam tshuam ntawm COVID-19 nws tus kheej, siv kev tshawb fawb-qib MRI cov duab ntawm cov neeg mob nrhiav rau lawv cov chaw kho mob los ntawm cov kws kho mob hauv tsev neeg, cov chaw saib xyuas kev noj qab haus huv, cov ntaub ntawv tshaj tawm los ntawm cov neeg mob hauv online.Pawg thiab cov vev xaib..
Puntmann tau sau tseg tias thaum qhov no yog ib pawg ntawm cov neeg mob uas feem ntau tsis tuaj yeem sawv cev me me ntawm COVID-19, nws tsis yog qhov tsis yooj yim rau cov neeg mob no nrhiav cov lus teb rau lawv cov tsos mob.
Tsoomfwv cov ntaub ntawv tshawb fawb qhia tau hais tias 19 feem pua ​​​​ntawm cov neeg laus Asmeskas tau kis tus kabmob COVID muaj cov tsos mob rau 3 lub hlis lossis ntev dua tomqab kis kabmob.Hauv txoj kev tshawb fawb tam sim no, kev soj ntsuam xyuas qhov nruab nrab ntawm 11 lub hlis tom qab kev kuaj mob COVID-19 tau pom cov tsos mob plawv tsis tu ncua hauv 57% ntawm cov neeg koom.Cov neeg uas tseem muaj cov tsos mob muaj ntau dua myocardial edema ntau dua li cov neeg uas zoo los yog tsis muaj cov tsos mob (natural T2 37.9 vs 37.4 thiab 37.5 ms, P = 0.04).
"Kev koom tes hauv plawv yog ib feem tseem ceeb ntawm qhov tshwm sim ntev ntawm COVID - yog li ua tsis taus pa, kev mob siab rau, tachycardia," Pontman tau hais hauv kev xam phaj.
Nws pab pawg tau xaus lus tias cov tsos mob plawv uas lawv tau pom yog "koom nrog subclinical inflammatory lesion ntawm lub plawv, uas yuav piav qhia, yam tsawg kawg hauv ib feem, lub hauv paus pathophysiological ntawm cov tsos mob plawv tsis tu ncua.Qhov tseem ceeb, kev raug mob myocardial hnyav lossis kab mob hauv lub plawv tsis yog ib qho mob ua ntej thiab cov tsos mob tsis haum rau cov lus txhais ntawm tus kab mob myocarditis.
Tus kws kho mob plawv thiab tus neeg mob COVID mus ntev Alice A. Perlowski, MD, tau taw qhia qhov cuam tshuam tseem ceeb hauv kev kho mob los ntawm tweeting: "Qhov kev tshawb fawb no qhia txog cov tshuaj biomarkers li cas (qhov no CRP, nqaij calcin, NT-proBNP) yuav tsis qhia tag nrho zaj dab neeg. ”., #LongCovid, Kuv vam tias txhua tus kws kho mob uas pom cov neeg mob no hauv kev xyaum hais txog qhov tseem ceeb no. "
Ntawm 346 tus neeg laus nrog COVID-19 (txhais tau tias muaj hnub nyoog 43.3 xyoos, 52% cov poj niam) tau tshuaj xyuas ntawm ib lub chaw nruab nrab ntawm lub Plaub Hlis 2020 thiab Lub Kaum Hli 2021, ntawm qhov nruab nrab ntawm 109 hnub tom qab kis tau, cov tsos mob ntawm lub plawv feem ntau yog ua pa luv (62% ), palpitations (28%), atypical mob hauv siab (27%), thiab syncope (3%).
Puntmann tau hais tias "Kev paub txog dab tsi tshwm sim nrog kev kuaj lub plawv niaj hnub yog qhov nyuaj vim tias nws nyuaj rau pom cov xwm txheej txawv txav," Puntmann tau hais."Ib feem ntawm nws tau ua nrog pathophysiology tom qab nws ... Txawm hais tias lawv txoj haujlwm raug cuam tshuam, nws tsis yog qhov txaus ntshai vim tias lawv them nyiaj nrog tachycardia thiab lub siab zoo siab heev.Yog li ntawd, peb tsis pom lawv nyob rau theem decompensated. "
Pab neeg no npaj yuav ua raws li cov neeg mob no mus ntev kom nkag siab tias qhov kev cuam tshuam ntawm qhov chaw kho mob yuav ua li cas, ntshai tias nws "yuav ua rau muaj kev cuam tshuam loj ntawm lub plawv tsis ua haujlwm xyoo dhau los," raws li lub vev xaib lub vev xaib.Pab neeg no kuj tau pib txoj kev tshawb fawb MYOFLAME-19 cov placebo-tswj los ntsuas cov tshuaj tiv thaiv kab mob thiab cov tshuaj uas ua rau cov kab mob renin-angiotensin hauv cov pej xeem no.
Lawv txoj kev tshawb fawb suav nrog tsuas yog cov neeg mob uas tsis tau paub txog kab mob plawv yav dhau los, comorbidities, lossis kev kuaj mob ntsws tsis zoo ntawm lub hauv paus thiab leej twg tsis tau mus pw hauv tsev kho mob rau tus mob COVID-19.
Ib qho ntxiv 95 tus neeg mob ntawm lub tsev kho mob uas tsis muaj tus kab mob COVID-19 ua ntej thiab tsis paub txog kab mob plawv lossis kev sib kis tau raug siv los tswj.Thaum cov kws tshawb fawb tau lees paub tias tej zaum yuav muaj qhov sib txawv uas tsis lees paub piv rau cov neeg mob COVID, lawv tau sau tseg qhov kev faib tawm zoo sib xws los ntawm hnub nyoog, poj niam txiv neej, thiab kab mob plawv.
Ntawm cov neeg mob uas muaj cov tsos mob ntawm tus kab mob COVID, feem coob yog me me lossis nruab nrab (38% thiab 33%, feem), thiab tsuas yog cuaj (3%) muaj cov tsos mob hnyav uas txwv tsis pub ua haujlwm txhua hnub.
Cov yam ntxwv ntawm nws tus kheej kwv yees cov tsos mob ntawm lub plawv los ntawm lub hauv paus scan kom rov tshawb xyuas yam tsawg kawg 4 lub hlis tom qab (qhov nruab nrab 329 hnub tom qab kuaj mob) yog poj niam txiv neej thiab muaj kev cuam tshuam ntawm myocardial kev koom tes ntawm lub hauv paus.
"Qhov tseem ceeb, vim tias peb txoj kev tshawb fawb tsom mus rau cov tib neeg uas muaj tus kab mob ua ntej-COVID, nws tsis tau tshaj tawm txog qhov tshwm sim ntawm cov tsos mob plawv tom qab-COVID," Puntman pawg tau sau."Txawm li cas los xij, nws muab cov ntaub ntawv tseem ceeb txog lawv cov spectrum thiab kev hloov pauv tom ntej."
Puntmann thiab tus kws sau ntawv tshaj tawm tau tshaj tawm cov nqi hais lus los ntawm Bayer thiab Siemens, nrog rau cov nyiaj pab kev kawm los ntawm Bayer thiab NeoSoft.
Tau qhov twg los: Puntmann VO et al "Nyob rau lub sij hawm mob plawv pathology nyob rau hauv cov tib neeg uas muaj mob me me pib COVID-19", Nature Med 2022;PIB: 10.1038/s41591-022-02000-0.
Cov ntaub ntawv hauv lub vev xaib no yog rau cov ntaub ntawv xov xwm nkaus xwb thiab tsis hloov cov lus qhia kho mob, kuaj mob, lossis kev kho mob los ntawm tus kws kho mob tsim nyog.© 2022 MedPage Today LLC.Txhua txoj cai.Medpage Hnub no yog ib qho ntawm tsoom fwv teb chaws cov cim lag luam ntawm MedPage Today, LLC thiab tej zaum yuav tsis raug siv los ntawm cov neeg thib peb yam tsis tau tso cai.