Department of Medicine, Division of Cardiology, Montefiore Health System, Albert Einstein College of Medicine, New York, New York, USA.
Catheter Cardiovasc Interv. 2021 Feb 15;97(3):E339-E342. doi: 10.1002/ccd.28974. Epub 2020 May 30.
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.
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。