COVID-19‑associated myocarditis: clinical picture, diagnosis, and assessment of the causal relationship between the disease and occupation in a healthcare worker (clinical case)

One of the most serious complications of the novel coronavirus infection is damage to the cardiovascular system, the main variants of which are acute and chronic myocarditis, as well as decompensation of existing cardiovascular diseases. Clinical manifestations of myocardial damage can be non-specific and blurred, with unknown long-term consequences for the patient. Therapy carried out in COVID-19 patients presents a potential threat to the myocardium. In the Samara Region in 2021–2022, medical workers were diagnosed with 10 cases of chronic occupational diseases associated with the novel coronavirus infection, which caused permanent disability. Of these, four patients were diagnosed with viral myocarditis, and one case was inflammatory dilated cardiomyopathy. The article presents a clinical case of the development of myocarditis associated with the novel coronavirus infection in a healthcare worker, with the establishment of its causal relationship with professional activities. The need for a multidisciplinary approach to the diagnosis and treatment of COVID-19, with the mandatory par ticipation of a cardiologist, is emphasized.