medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2022-16-14-193-199medsovet-7038Research ArticleCOVID-19Нарушения сна, сердечно-сосудистые симптомы и динамика массы тела у женщин с постковидным синдромомSleep disorders, cardiovascular symptoms and body weight dynamics in women with post-COVID-19 syndromehttps://orcid.org/0000-0001-8737-4264СергееваВ. А.SergeevaV. A.

Сергеева Виктория Алексеевна, кандидат медицинских наук, доцент кафедры терапии с  курсами кардиологии, функциональной диагностики и  гериатрии

410012, Саратов, ул. Большая Казачья, 112

Viktoriya A. Sergeeva, Cand. Sci. (Med.), Assistant Professor of the Department of Therapy with Courses of Cardiology, Functional Diagnostics and Geriatrics

112, Bolshaya Kazachya St., Saratov, 410012

viktoriasergeeva@mail.ruhttps://orcid.org/0000-0002-7401-9930ЛипатоваТ. Е.LipatovaT. E.

Липатова Татьяна Евгеньевна, доктор медицинских наук, доцент, заведующая кафедрой кардиологии, функциональной диагностики и гериатрии

410012, Саратов, ул. Большая Казачья, 112

Tatiana E. Lipatova, Dr. Sci. (Med.), Head of Department of Therapy with Courses of Cardiology, Functional Diagnostics and Geriatrics

410012, Саратов, ул. Большая Казачья, 112

lipatova.t@inbox.ruСаратовский государственный медицинский университет имени В.И. РазумовскогоРоссияSaratov State Medical University named after V.I. RazumovskyRussian Federation202212082022014193199Copyright © Сергеева В.А., Липатова Т.Е., 20222022Сергеева В.А., Липатова Т.Е.Sergeeva V.A., Lipatova T.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/7038Введение

Введение. Пандемия COVID-19 стала глобальной проблемой системы здравоохранения во всем мире. Последствия новой коронавирусной инфекции продолжают изучаться. Сердечно-сосудистые симптомы и нарушения сна входят в число доминирующих жалоб среди женщин с постковидным синдромом (ПКС).

Цель работы

Цель работы. Оценить нарушения сна, сердечно-сосудистые симптомы, динамику массы тела и их статистические взаимосвязи у женщин с ПКС.

Материалы и методы

Материалы и методы. С помощью добровольного анонимного анкетирования проведена оценка сердечно-сосудистых симптомов, динамики массы тела и  нарушений сна у  253  женщин разных возрастных групп, перенесших COVID-19  минимум 12  нед. назад до  проведения исследования. Оценка тяжести одышки осуществлялась по  шкале mMRC  (Modified Medical Research Council). Также проводилось измерение частоты сердечных сокращений в покое. Статистическая обработка полученных данных осуществлялась с помощью программы StatPlus 2009 Professional.

Результаты и обсуждение

Результаты и обсуждение. Среди проявлений со стороны сердечно-сосудистой системы в период ПКС у женщин разных возрастных групп преобладают сердцебиение, одышка, повышение артериального давления (АД). Прослеживается статистическая закономерность в  увеличении распространенности подъемов АД среди женщин в  зависимости от  возраста. Разнообразные нарушения сна встречаются у женщин всех возрастных групп, наиболее часто – в группе женщин пожилого возраста. Выявлены статистические взаимосвязи нарушений сна и  повышения АД, выраженности одышки, сердцебиения у женщин с ПКС разных возрастных групп. Тяжелая одышка чаще регистрировалась у женщин пожилого возраста. Снижение массы тела у женщин с ПКС ассоциировано с нарушениями сна.

Заключение

Заключение. У женщин с ПКС сердечно-сосудистые симптомы и нарушения сна тесно взаимосвязаны. Ведение таких пациентов должно осуществляться с  учетом разнообразия и  взаимовлияния различных клинических проявлений. Коррекция выявленных нарушений должна быть комплексной, основанной на междисциплинарном подходе различных специалистов.

Introduction

Introduction. The COVID-19 pandemic has become a global health problem worldwide. The consequences of the new coronavirus infection continue to be studied. Cardiovascular symptoms and sleep disorders are among the dominant complaints in postCOVID-19 syndrome in women.

Aim

Aim. To assess sleep disorders, cardiovascular symptoms, body weight dynamics and their statistical relationships in women with post-COVID-19 syndrome.

Materials and methods

Materials and methods. Using a voluntary anonymous questionnaire, we assessed cardiovascular symptoms, body weight dynamics and sleep disorders in 253 women of different age groups who had COVID-19 at least 12 weeks ago. The severity of dyspnea was assessed using the mMRC (Modified Medical Research Council) scale. Resting heart rate was measured. Statistical processing of the obtained data was carried out using the StatPlus 2009 Professional program.

Results and discussion

Results and discussion. Among the manifestations of the cardiovascular system in post-COVID-19 syndrome in women of different age groups, palpitations, shortness of breath, and increased blood pressure predominate. There is a statistical pattern in the increased prevalence of rises in blood pressure in post-COVID-19 syndrome among women, depending on age. A variety of sleep disorders occur in all age groups of women, most often in the group of older women. Statistical relationships between sleep disorders and increased blood pressure, severity of dyspnea, palpitations in post-COVID-19 syndrome in women of different age groups were revealed. Severe dyspnea in post-COVID-19 syndrome was frequent noticed in older women. Weight loss in women with post-COVID-19 syndrome is associated with sleep disorders.

Conclusions

Conclusions. Cardiovascular symptoms and sleep disorders in post-COVID-19 syndrome in women of different age groups are closely interrelated. The management of patients in post-COVID-19 syndrome should be carried out taking into account the diversity and interaction of various clinical manifestations. Correction of the identified violations should be comprehensive, based on an interdisciplinary approach of various specialists.

 

 

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