jofinЖурнал инфектологииJournal Infectology2072-6732IPO “АIDSSPbR"10.22625/2072-6732-2025-17-4-103-106jofin-1895Research ArticleОригинальное исследованиеOriginal ResearchПостковид: нарушения ритма и проводимости сердца у детей. Промежуточные результаты лонгитюдного исследованияPostCOVID: cardiac rhythm and conduction disorders in children. Interim results of a longitudinal studyСоколовскаяВ. В.SokolovskajaV. V.

Соколовская Влада Вячеславовна – заведующая кафедрой инфекционных болезней у детей, к.м.н., доцент, главный внештатный специалист по инфекционным болезням у детей Министерства здравохранения Смоленской области по здравоохранению 

Смоленск

Smolensk

vlada-vs@inbox.ruЛитвиноваА. А.LitvinovaA. A.

Литвинова Александра Алексеевна – клинический ординатор 2-го года кафедры инфекционных болезней у детей 

Смоленск

Smolensk

Alexa5582@yandex.ruКриковаА. В.KrikovaA. V.

Крикова Анна Вячеславовна – заведующий кафедрой управления и экономики фармации, д.фарм.н., доцент 

Смоленск

Smolensk

anna.krikova@mail.ruКозловР. С.KozlovR. S.

Козлов Роман Сергеевич – ректор, д.м.н., член-корреспондент РАН 

Смоленск

Smolensk

roman.kozlov@antibiotic.ruСмоленский государственный медицинский университетРоссияSmolensk State Medical UniversityRussian Federation202518122025174101106Copyright © Соколовская В.В., Литвинова А.А., Крикова А.В., Козлов Р.С., 20252025Соколовская В.В., Литвинова А.А., Крикова А.В., Козлов Р.С.Sokolovskaja V.V., Litvinova A.A., Krikova A.V., Kozlov R.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.niidi.ru/jofin/article/view/1895

Цель: изучение долгосрочного влияния вируса SARSCoV-2 на сердечно-сосудистую систему у детей Смоленской области. Материалы и методы: проведение Холтеровского мониторирования ЭКГ детям в возрасте от 1 месяца до 18 лет, перенесших COVID-19 легкой или средней степени тяжести, в интервале от 3 до 12 месяцев после выписки. Результаты: синусовая тахикардия, не связанная с физической нагрузкой, зафиксирована у 35% детей, синусовая брадикардия – у 25,9%. Несинусовый ритм отмечался у 19 детей. У 125 детей отмечались предсердные экстрасистолы. Желудочковые экстрасистолы регистрировались в 35% случаев (одиночные – 18,7%, по типу бигеминии – 17,9%, тригеминии – 9,4% и квадригеминии – 1,8%). Среди нарушений проводимости сердца лидирующую позицию занимали: атриовентрикулярные блокады 1–3 степеней, нарушения проводимости по правой и левой ножкам пучка Гиса, а также их полные и неполные блокады. Паузы ритма отмечались в 4,1% случаев, удлинение QTc – у 40,2% детей соответственно. Заключение: сердечно-сосудистые поражения являются одной из самых центральных проблем постковида. Зафиксированы различные нарушения ритма и проводимости сердца, показана частота их встречаемости у детей в возрасте от 1 месяца до 18 месяцев.

Goal. To study the long-term effect of the SARS-CoV-2 virus on the cardiovascular system in children of the Smolensk region. Materials and methods. Holter ECG monitoring for children aged 1 month to 18 years who suffered from mild or moderate COVID-19 within 3 to 12 months after discharge. Results. Sinus tachycardia unrelated to physical activity was recorded in 35%, sinus bradycardia - 25,9%. Non-sinus rhythm was observed in 19 children. 125 children had atrial extrasystoles. Ventricular extrasystoles were registered in 35% (single – 18,7%, by type of bigeminia – 17,9%, trigeminia – 9,4% and quadrigeminia – 1,8%). Among the cardiac conduction disorders, the leading position was occupied by atrioventricular blockages of 1–3 degrees, conduction disorders along the right and left legs of the Gis bundle, as well as their complete and incomplete blockages. Rhythm pauses were observed in 4,1% of cases, very low HRV was observed in 9,7% and QTc prolongation was observed in 40.2% of children, respectively. Conclusion. Cardiovascular lesions are one of the most central problems of post-covid. Various cardiac arrhythmias and conduction disorders have been recorded, and their frequency has been shown in pediatric patients aged 1 month to 18 months.

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