The document includes the main recommendations for the assessment of cardiovascular disease և treatment after COVID-19 infection և after the Covid-19 vaccine.
It: American College of Cardiology (ACC:for English abbreviations) published by a new guide with the main Cardiovascular effects of Covid-19. This document is a clinical guide for post-infection adult evaluation and treatment. SARS-CoV-2:. In this regard, the guide analyzes one of the major cardiovascular pathologies associated with Covid աստ vaccines. myocarditis. Experts note in the report that “myocarditis has been recognized as a complication rare but serious infection, like him! mRNA vaccine Against Covid-19. “
By: Thai GluckmanMaster of Health Management համ Co-chair of the expert consensus decision-making process, “The best means of treatment. Diagnosis.. Myocarditis after infection with SARS-CoV-2 They continue to develop. ” In addition, Glackman adds: “This document seeks to provide basic recommendations on how to assess and care for adults with the disorder, including a guide to returning to sport for both amateur and professional athletes.”
As for the suggestions that are being collected Myocarditis associated with Covid-19The report points out the four main ones.
When the heart is more likely to be involved with Covid-19, the initial tests should include an electrocardiogram, a cardiac troponin test, and an echocardiogram. Cardiology consultation is recommended in case of increased cardiac troponin or echocardiographic abnormalities. Cardiac MRI is recommended in hemodynamically stable patients myocarditis is suspected.
Hospitalization of patients with confirmed myocarditis is recommended, ideally in an advanced care center for heart failure. Patients with fulminant myocarditis should be treated in centers that are experienced with advanced heart failure, mechanical circulation support, and other advanced treatments.
With patients myocarditis ov Covid-19 pneumonia (with constant need for extra oxygen) should be treated with corticosteroids. When pericardial effusion is suspected, treatment with non-steroidal anti-inflammatory drugs, colchicine or prednisone is appropriate. Intravenous injection of corticosteroids may be considered when suspected or confirmed Covid-19 myocarditis in adults with hemodynamic compromise or multisystem inflammatory syndrome (MIS-A). Empirical use of corticosteroids may be considered when a biopsy reveals severe myocardial infiltrates or burning myocarditis after weighing the risk of infection.
If necessary, guideline-based medication for heart failure should be started and continued after discharge.
Myocarditis after mRNA vaccination
The document states that after receiving myocarditis mRNA vaccine Against Covid-19, “it is rare, the highest rates are observed in young men after the second dose of the vaccine,” explains Glakman. Similarly, the report states that “vaccination against covid is associated with a risk-benefit ratio very favorable ”for all age and gender groups assessed so far.
In general, the guide also recommends that “the: Vaccine-associated myocarditis should be diagnosed, classified և treated as secondary myocarditis of SARS-CoV-2 infection.
Stubborn Covid, a sequel to Covid-19
The report published by ACC refers to him և stubborn covid as “acute effects of infection.” SARS-CoV-2:In addition, it confirms that “this disorder is manifested in 10-30% of infected people.” Although people with this disease “can manifest a variety of symptoms, the symptoms of the cardiovascular system, which most call care. Tachycardia, intolerance to exercise, chest pain և suffocation.
In this regard, the co-chair of the decision-making process, Nicole Bhaven, stated that “it seems that a” decreasing spiral “is observed for patients. stubborn covid. “Fatigue, reduced physical activity lead to reduced activity, reduced bed rest, which in turn leads to worsening of symptoms, reduced quality of life.” The Writing Committee recommends that a basic cardiovascular assessment be performed in advance to determine if they are necessary. more specialized care և a: Pharmacotherapy formalized for these patients. ”
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