Tiwary Tarkeshwar, Baiswar Shalanki, Jinnur Praveen
Pulmonary Medicine, WellSpan Health, Chambersburg, USA.
Internal Medicine, WellSpan Health, Chambersburg, USA.
Cureus. 2020 Nov 22;12(11):e11632. doi: 10.7759/cureus.11632.
A young male with long-standing type 1 diabetes mellitus, chronic kidney disease, and known ventricular hypertrophy presented with dyspnea and abdominal pain and was diagnosed with coronavirus disease 2019 (COVID-19) infection. On day nine of hospital admission, patient developed ventricular tachycardia with electrocardiogram (ECG) changes and elevation in troponin level consistent with myocarditis and development of cardiogenic shock. Bedside limited echo demonstrated signs of tamponade and patient underwent surgical pericardial window procedure. He was also noted to develop marked prolongation of corrected QT interval (QTc) while on amiodarone.
一名患有长期1型糖尿病、慢性肾脏病且已知存在心室肥厚的年轻男性,因出现呼吸困难和腹痛而就诊,被诊断为2019冠状病毒病(COVID-19)感染。入院第9天,患者出现室性心动过速,伴有心电图(ECG)改变及肌钙蛋白水平升高,符合心肌炎及心源性休克的表现。床边有限超声心动图显示有心脏压塞征象,患者接受了心包开窗手术。同时还注意到,患者在使用胺碘酮期间出现了校正QT间期(QTc)明显延长的情况。