Abstract
The presented review highlights the peculiarities of cardiovascular system damages in burn injury. The epidemiological data on the incidence of thermal injuries are reported. The pathogenic mechanisms of heart disorders during various periods of burn injury, as well as pathological changes in the myocardium are examined in detail. The main clinical manifestations of heart damage on the background of burn disease have been identified (heart failure, myocarditis, infectious endocarditis, cardiac arrhythmias and conduction disturbances, myocardial infarction). Special attention is paid to laboratory and instrumental methods for investigation of the heart with a discussion of the benefits and disadvantages of each method. The manuscript discusses the main therapeutic approaches for the management of burn patients with cardiac pathology, as well as the possibilities of using and the effectiveness of modern treatment methods aimed at improving survival, diminishing the severity of cardiovascular disorders and improving the prognosis of such patients.
Highlights
The presented review highlights the peculiarities of cardiovascular system damages in burn injury
The pathogenic mechanisms of heart disorders during various periods of burn injury, as well as pathological changes in the myocardium are examined in detail
The manuscript discusses the main therapeutic approaches for the management of burn patients with cardiac pathology, as well as the possibilities of using and the effectiveness of modern treatment methods aimed at improving survival, diminishing the severity of cardiovascular disorders and improving the prognosis of such patients
Summary
Ватутин Н.Т.1, 2, Игнатенко Г.А.1, Тарадин Г.Г.1, 2, Ещенко Е.В.3, Гончарук М.С.1, 2, Куликова С.О.1. Обзор посвящен особенностям поражений сердечно-сосудистой системы при ожоговой болезни. Подробно рассмотрены патогенетические механизмы повреждения сердца в различные периоды ожоговой травмы, а также патоморфологические изменения миокарда. Выделены основные клинические проявления поражений сердца на фоне ожоговой болезни (сердечная недостаточность, миокардит, инфекционный эндокардит, нарушения ритма и проводимости сердца, инфаркт миокарда). Ключевые слова: термические ожоги, ожоговая болезнь, сердце при ожоговой травме, сердечная недостаточность, патогенез, патоморфология, клиническая картина, диагностика, лечение. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи. Для цитирования: Ватутин Н.Т., Игнатенко Г.А., Тарадин Г.Г., Ещенко Е.В., Гончарук М.С., Куликова С.О. Поражение сердца при ожоговой болезни (обзор литературы).
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