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Treatment of heart rhythm disturbances associated with SARS-CoV-2 infection with anti-inflammatory drugs

https://doi.org/10.30629/0023-2149-2023-101-12-665-674

Abstract

Publications regarding cardiac arrhythmias associated with the new coronavirus infection (COVID-19) focus primarily on the high prevalence and symptoms of this complication. We have not found any studies on the specific treatment of arrhythmias associated with SARS-CoV2, since a standard therapeutic approach is probably implied. This observation describes a series of cases of various cardiac arrhythmias that occurred against the background of acute COVID-19 and were treated with anti-inflammatory, but not antiarrhythmic drugs. The cases are united by the occurrence of acute SARS-CoV-2 infection, the connection of relapses with inflammation symptoms, as well as the effectiveness of therapy with the main classes of anti-inflammatory drugs. A narrative review of the literature provides the rationale for the inflammatory theory of arrhythmias and sets the stage for discussion about how to integrate differentially anti-inflammatory drugs into the treatment regimen of such patients.

About the Authors

Z. N. Sukmarova
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Zulfiya N. Sukmarova — Candidate of Medical Sciences, Researcher

115522, Moscow



E. G. Zotkin
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Evgeny G. Zotkin — Doctor of Medical Sciences, First Deputy Director

115522, Moscow



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Sukmarova Z.N., Zotkin E.G. Treatment of heart rhythm disturbances associated with SARS-CoV-2 infection with anti-inflammatory drugs. Clinical Medicine (Russian Journal). 2023;101(12):665-674. (In Russ.) https://doi.org/10.30629/0023-2149-2023-101-12-665-674

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ISSN 0023-2149 (Print)
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