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一例伴有急性心肌梗死和心源性休克的 COVID-19 病例。

A Case of COVID-19 with Acute Myocardial Infarction and Cardiogenic Shock.

机构信息

Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.

Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.

出版信息

J Korean Med Sci. 2020 Jul 13;35(27):e258. doi: 10.3346/jkms.2020.35.e258.

Abstract

A 60-year-old male patient with coronavirus disease-2019 showed new onset ST-segment elevation in V1-V2 leads on electrocardiogram and cardiac enzyme elevation in intensive care unit. He had a history of type 2 diabetes mellitus, hypertension, and dyslipidemia. He was receiving mechanical ventilation and veno-venous extracorporeal membrane oxygenation treatment for severe hypoxia. Two-D echocardiogram showed regional wall motion abnormalities. We performed primary percutaneous coronary intervention for acute myocardial infarction complicating cardiogenic shock under hemodynamic support. He expired on the 16th day of admission because of cardiogenic shock and multi-organ failure. Active surveillance and intensive treatment strategy are important for saving lives of COVID-19 patients with acute myocardial infarction.

摘要

一位 60 岁男性 COVID-19 患者在重症监护病房出现心电图 V1-V2 导联新出现的 ST 段抬高和心肌酶升高。他有 2 型糖尿病、高血压和血脂异常病史。他因严重缺氧接受机械通气和静脉-静脉体外膜肺氧合治疗。二维超声心动图显示区域性壁运动异常。在血流动力学支持下,我们对合并心源性休克的急性心肌梗死患者进行了直接经皮冠状动脉介入治疗。患者因心源性休克和多器官功能衰竭于入院第 16 天死亡。对于 COVID-19 合并急性心肌梗死患者,积极监测和强化治疗策略对于挽救生命非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cd4/7358062/61e5024ed2ac/jkms-35-e258-g001.jpg

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