Department of Medicine, Division of Cardiology, Inova Heart and Vascular Institute, Falls Church, Virginia, USA
Department of Medicine, Georgetown University Medical Center, Washington, District of Columbia, USA.
BMJ Case Rep. 2021 Mar 22;14(3):e238218. doi: 10.1136/bcr-2020-238218.
COVID-19 has varied cardiovascular manifestations including microvascular and macrovascular thrombi leading to multiorgan system injury and failure. This case describes a patient presenting with acute hypoxaemic respiratory failure from COVID-19 who abruptly developed a large thrombus in the right coronary artery leading to myocardial infarction. This case report reviews the ECG, heart catheterisation images prepercutaneous and postpercutaneous coronary intervention, critical care management and outcome in the context of the height of the COVID-19 pandemic in the Virginia area. A brief review of relevant literature regarding cardiovascular complications of COVID-19 is also provided. Unfortunately, the patient ultimately passed after 2 weeks of inability to wean off the ventilator.
COVID-19 有多种心血管表现，包括微血栓和大血栓，导致多器官系统损伤和衰竭。本病例描述了一名因 COVID-19 导致急性低氧性呼吸衰竭的患者，该患者突然在右冠状动脉形成大血栓，导致心肌梗死。本病例报告回顾了在弗吉尼亚地区 COVID-19 大流行期间该患者的心电图、经皮冠状动脉介入术前和术后的心脏导管图像、重症监护管理和结局，并提供了 COVID-19 心血管并发症的相关文献综述。遗憾的是，该患者在无法脱离呼吸机 2 周后最终去世。
