Статья

COVID-19 management: Who needs electrocardiographic monitoring and why

N. Poteshkina, E. Kovalevskaya, I. Beloglazova, I. Samsonova, A. Chernov, D. Fomina, M. Lysenko,
2020

Chloroquine phosphate and hydroxychloroquine sulfate are used for treatment and prevention of complications associated with COVID-19. The use of these drugs has the potential to cause QT interval prolongation. The combination of antimalarial drugs with fluoroquinolones and macrolides increases the risk of rhythm disturbance. Objective. Based on analysis of own clinical data to determine the QTc-interval value for correction of monitoring of patients with COVID-19-associated extra-hospital pneumonia during antiprotozoic course in combination with antibacterial agents with cardiovascular toxicity (macrolide or fluoroquinolone). Material and methods. A single-center non-randomized prospective study to evaluate the safety of therapy in 98 patients with COVID- 19 community-acquired pneumonia. Patients were divided into two subgroups: patients with (n=39) and without (n=59) cardiovascular diseases. Results. QTc prolongation from baseline (360 ms, from 350 to 380) was observed on fifth (390 ms, from 360 to 400; p=0.003) and 10th (400 ms, from 390 to 430; p=0.005). In patients with cardiovascular diseases, QTc prolongation from baseline was detected only on the 10th day (360 ms, from 340 to 410 ms vs 400, from 370 to 450 ms; p=0.03). Conclusions. Co-administration of hydroxychloroquine sulfate with fluoroquinolones or macrolides in patients with COVID- 19 was not associated with severe QTc prolongation or arrhythmias.

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Версии

  • 1. Version of Record от 2020-01-01

Метаданные

Об авторах
  • N. Poteshkina
    Moscow Healthcare Department, Pirogov Russian National Research Medical University (RNRMU)
  • E. Kovalevskaya
    Moscow Healthcare Department
  • I. Beloglazova
    Moscow Healthcare Department
  • I. Samsonova
    Moscow Healthcare Department
  • A. Chernov
    Moscow Healthcare Department, Sechenov First Moscow State Medical University
  • D. Fomina
    Moscow Healthcare Department, Sechenov First Moscow State Medical University
  • M. Lysenko
    Moscow Healthcare Department, Pirogov Russian National Research Medical University (RNRMU)
Название журнала
  • Profilakticheskaya Meditsina
Том
  • 23
Выпуск
  • 8
Страницы
  • 45-50
Номер гранта
  • undefined
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC BY
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus