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一名因疑似 COVID-19 而自我隔离的患者因延迟出现 ST 段抬高型心肌梗死导致乳头肌破裂

Papillary Muscle Rupture Due to Delayed STEMI Presentation in a Patient Self-Isolating for Presumed COVID-19.

作者信息

Kunkel Katherine J, Anwaruddin Saif

机构信息

Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

JACC Case Rep. 2020 Aug;2(10):1633-1636. doi: 10.1016/j.jaccas.2020.06.036. Epub 2020 Jul 11.

DOI:10.1016/j.jaccas.2020.06.036
PMID:33521677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7837035/
Abstract

A 57-year-old man acutely developed chest tightness and dyspnea. Given concern that his symptoms were consistent with COVID-19, the patient self-isolated. After 1 week of worsening symptoms, the patient presented with hypoxia and hypotension. He was found to have an occluded right coronary artery and ruptured posteromedial papillary muscle. ().

摘要

一名57岁男性突然出现胸闷和呼吸困难。鉴于担心其症状与新型冠状病毒肺炎相符，该患者进行了自我隔离。在症状恶化1周后，患者出现缺氧和低血压。发现他右冠状动脉闭塞，后内侧乳头肌破裂。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/e815e29fe38f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/f32d1b92b1dd/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/79cb7f511fe2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/b30f646b19a8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/b104ad464b66/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/73343e342566/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/e815e29fe38f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/f32d1b92b1dd/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/79cb7f511fe2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/b30f646b19a8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/b104ad464b66/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/73343e342566/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd2/8302181/e815e29fe38f/gr5.jpg

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本文引用的文献

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Papillary muscle rupture following acute myocardial infarction: Anatomic, echocardiographic, and surgical insights.急性心肌梗死后乳头肌破裂：解剖学、超声心动图及手术见解
Echocardiography. 2017 Nov;34(11):1702-1707. doi: 10.1111/echo.13739. Epub 2017 Oct 29.
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Cardiogenic shock and heart failure post-percutaneous coronary intervention in ST-elevation myocardial infarction: observations from "Assessment of Pexelizumab in Acute Myocardial Infarction".
采用创新的 3D 打印左心模拟装置对急性乳头肌破裂疾病模型的生物力学工程分析。
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Cardiol Discov. 2021 Nov 22;1(4):233-258. doi: 10.1097/CD9.0000000000000038. eCollection 2021 Dec.
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Knowledge, attitudes and practices of patients with chronic illnesses during the COVID-19 pandemic: A cross-sectional survey from Pakistan.慢性疾病患者在 COVID-19 大流行期间的知识、态度和实践：来自巴基斯坦的一项横断面调查。
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"Back to the Future" for STEMI?: The COVID-19 Experience.ST段抬高型心肌梗死的“回到未来”？：新冠疫情的经验
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