Clinica IMA, Adrogue, Argentina.
Sanatorio Profesor Itoiz, Avellaneda, Argentina.
Echocardiography. 2021 Mar;38(3):469-472. doi: 10.1111/echo.15006. Epub 2021 Feb 18.
The Covid-19 pandemia has many other undesirable consequences apart of virus infection. Less people is hospitalized due to acute coronary syndrome and the delay to seek medical attention has increased. Patients with ST segment elevation myocardial infarction arrive at the hospital too late to be timely treated and we have recently seen mechanical complications that were more frequent in the past decades before the use of reperfusion strategies. In this report we describe the presentation, evolution and detailed imaging evaluation of two patients with unusual presentations of cardiac rupture: left ventricular pseudoaneurysm and left ventricular intramyocardial dissecting hematoma.
除了病毒感染之外，Covid-19 大流行还有许多其他不良后果。由于急性冠状动脉综合征，住院人数减少，并且人们寻求医疗关注的时间也有所延迟。患有 ST 段抬高型心肌梗死的患者到达医院时已经太晚，无法及时得到治疗，而且最近我们发现，与再灌注策略使用之前的几十年相比，机械并发症更加频繁。在本报告中，我们描述了两例心脏破裂的不典型表现患者的临床表现、演变和详细的影像学评估：左心室假性动脉瘤和左心室心肌内血肿。
