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一名新冠病毒感染患者出现完全性心脏传导阻滞的病例。

A case of complete heart block in a COVID-19 infected patient.

作者信息

Haddadin Faris I, Mahdawi Tala Eneizat, Hattar Laith, Beydoun Hassan, Fram Farah, Homoud Munther

机构信息

Department of Medicine at Mount Sinai St Luke's and West, New York, NY, USA.

Department of Medicine at Saint Elizabeth's Medical Center, Brighton, MA, USA.

出版信息

J Cardiol Cases. 2021 Jan;23(1):27-30. doi: 10.1016/j.jccase.2020.08.006. Epub 2020 Aug 31.

Abstract

In the midst of the COVID-19 pandemic, we herein report the case of an elderly female with multiple comorbidities coming with typical symptoms of the viral infection in addition to the unusual presentation of bradycardia due to complete heart block requiring pacemaker placement. This may be a rare complication of the disease but one has to keep a high index of suspicion since this virus has an ability to affect multiple organ systems with many ways yet to be uncovered. < 1. COVID-19 might affect the conduction system of the heart as part of its disease process. 2. Future studies are needed to address the mechanism of which COVID-19 affects the conduction system to improve the recognition of this phenomenon. 3. It is pertinent to recognize any metabolic and pharmacological risk factors related to conduction block in patients with COVID-19, and to provide close monitoring to high-risk patients in order to recognize this rare complication and treat it early on.>.

摘要

在新冠疫情期间,我们在此报告一例患有多种合并症的老年女性病例,该患者除了出现病毒感染的典型症状外,还因完全性心脏传导阻滞导致心动过缓,这种不寻常的表现需要植入起搏器。这可能是该疾病的一种罕见并发症,但由于这种病毒有能力以多种尚未被发现的方式影响多个器官系统,因此必须保持高度的怀疑指数。<1. 新冠病毒可能在其疾病过程中影响心脏传导系统。2. 需要进一步的研究来探讨新冠病毒影响传导系统的机制,以提高对这一现象的认识。3. 认识与新冠患者传导阻滞相关的任何代谢和药理学风险因素,并对高危患者进行密切监测,以便识别这种罕见并发症并尽早治疗,这一点至关重要。>

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f9/7783568/2885b1c2a3c0/gr1.jpg

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