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A Call to Action: The Need for Autopsies to Determine the Full Extent of Organ Involvement Associated With COVID-19.行动呼吁：需要进行尸检以确定与 COVID-19 相关的器官受累的全部程度。
Chest. 2020 Jul;158(1):43-44. doi: 10.1016/j.chest.2020.03.060. Epub 2020 Apr 10.
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COVID-19 Autopsies, Oklahoma, USA.美国俄克拉荷马州的 COVID-19 尸检。
Am J Clin Pathol. 2020 May 5;153(6):725-733. doi: 10.1093/ajcp/aqaa062.
3
Myocardial localization of coronavirus in COVID-19 cardiogenic shock.COVID-19 心原性休克中冠状病毒的心肌定位。
Eur J Heart Fail. 2020 May;22(5):911-915. doi: 10.1002/ejhf.1828. Epub 2020 Apr 11.
4
Catheterization Laboratory Considerations During the Coronavirus (COVID-19) Pandemic: From the ACC's Interventional Council and SCAI.新型冠状病毒肺炎（COVID-19）大流行期间的心导管实验室考量：来自美国心脏病学会介入委员会和心血管造影和介入学会
J Am Coll Cardiol. 2020 May 12;75(18):2372-2375. doi: 10.1016/j.jacc.2020.03.021. Epub 2020 Mar 19.
5
A Trial of Lopinavir-Ritonavir in Adults Hospitalized with Severe Covid-19.洛匹那韦-利托那韦治疗成人重症 COVID-19 患者的临床试验。
N Engl J Med. 2020 May 7;382(19):1787-1799. doi: 10.1056/NEJMoa2001282. Epub 2020 Mar 18.
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COVID-19 and the cardiovascular system.新型冠状病毒肺炎与心血管系统。
Nat Rev Cardiol. 2020 May;17(5):259-260. doi: 10.1038/s41569-020-0360-5.
7
Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China.《武汉 2019 年新型冠状病毒感染的肺炎 138 例住院患者临床特征分析》
JAMA. 2020 Mar 17;323(11):1061-1069. doi: 10.1001/jama.2020.1585.
8
Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.中国武汉地区 2019 年新型冠状病毒感染患者的临床特征。
Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24.

SARS-CoV-2 感染表现为 ST 段抬高型心肌梗死。

SARS-COV-2 infection presenting as ST-elevationmyocardial infarction.

机构信息

Department of Medicine, Division of Cardiology, Montefiore Health System, Albert Einstein College of Medicine, New York, New York, USA.

出版信息

Catheter Cardiovasc Interv. 2021 Feb 15;97(3):E339-E342. doi: 10.1002/ccd.28974. Epub 2020 May 30.

DOI:10.1002/ccd.28974
PMID:32473085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7300511/
Abstract

We describe a patient presenting with chest discomfort, anterolateral ST elevation, and developing acute cardiogenic shock secondary to SARS-COV-2infection-patient zero presenting to our institution's cardiac catheterization laboratory. The emergent presentation with limited clinical information led to exposure of personnel. The diagnosis was complicated by two negative tests for SARS-COV-2, and high-clinical suspicion from the patient's occupational history led to additional testing in order to confirm the diagnosis.

摘要

我们描述了一位以胸痛、前外侧 ST 段抬高为表现，并因 SARS-CoV-2 感染发展为急性心源性休克的患者——我们机构的心脏导管实验室的首例患者。由于有限的临床信息，紧急就诊导致了人员暴露。由于 SARS-CoV-2 的两次检测均为阴性，且患者的职业史高度提示该病毒，因此该诊断变得复杂，并进行了额外的检测以确认诊断。