pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2020-30-5-688-699pulmo-1394Research ArticleОБЗОРЫREVIEWCOVID-19 и сердечно-сосудистые заболевания: от эпидемиологии до реабилитацииCOVID-19 and cardiovascular diseases: from epidemiology to rehabilitationhttps://orcid.org/0000-0003-2250-5942БубноваМ. Г.BubnovaM. G.

Бубнова Марина Геннадьевна – д. м. н., профессор; руководитель отдела реабилитации и вторичной профилактики сердечно-сосудистых заболеваний. SPIN-код: 6733-1430

101990, Москва, Петроверигский пер., 10тел.: (495) 790-71-72 

Marina G. Bubnova – Doctor of Medicine, Professor, Head of Department of rehabilitation and secondary prevention for Cardiovascular Disease. SPIN: 6733-1430

Petroverigskiy per. 10, build. 3, Moscow, 101000tel.: (495) 790-71-72

MBubnova@gnicpm.ruhttps://orcid.org/0000-0003-0484-9805АроновД. М.AronovD. M.

Аронов Давид Меерович – д. м. н., профессор, главный научный сотрудник. SPIN-код: 5094-6509

101990, Москва, Петроверигский пер., 10тел.: (495) 790-71-72 

David M. Aronov – Doctor of Medicine, Professor; Chief Scientific Researcher. SPIN: 5094-6509

Petroverigskiy per. 10, build. 3, Moscow, 101000tel.: (495) 790-71-72

aronovdm@mail.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр профилактической медицины» Министерства здравоохранения Российской ФедерацииРоссияNational Research Center for Preventive Medicine, Healthcare Ministry of Russian FederationRussian Federation202026102020305688699Copyright © Бубнова М.Г., Аронов Д.М., 20202020Бубнова М.Г., Аронов Д.М.Bubnova M.G., Aronov D.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/1394

Статья посвящена обзору данных о распространенности и влиянии сердечно-сосудистых заболеваний на течение и исходы новой коронавирусной инфекции COVID-19. В обзоре разбирается связь между COVID-19 и функционированием ренин-ангиотензин-альдостероновой системы, патофизиологические механизмы их взаимного влияния. Приведены результаты анализа последних данных литературы о безопасности приема ингибиторов ангиотензинпревращающего фермента и блокаторов рецепторов к ангиотензину II. Обсуждаются причины и патофизиологические механизмы развития острого миокардиального повреждения при COVID-19. Рассматривается вопрос организации реабилитационной помощи больным, перенесшим COVID-19. Представлены основные компоненты и особенности программы реабилитации при COVID-19.

The article is devoted to a review of data on the prevalence and impact of cardiovascular diseases on the course and outcomes of the new coronavirus infection COVID-19. The review examines the relationship between COVID-19 and the functioning of the renin-angiotensin-aldosterone system, the pathophysiological mechanisms of their mutual influence. The analysis of the latest literature data on the safety of taking angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers is presented. The causes and pathophysiological mechanisms of the development of acute myocardial damage in COVID-19 are discussed. The issue of organizing rehabilitation assistance for patients who have undergone COVID-19 is being considered. The main components and features of the COVID-19 rehabilitation program are presented.

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