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在一名初次献血者捐献新冠康复者血浆后发生的侧壁ST段抬高型心肌梗死

Lateral ST-elevation myocardial infarction after donation of COVID-19 convalescent plasma in a naïve donor.

作者信息

Shams Pirbhat, Tipoo Fateh Ali

机构信息

Adult Cardiology, Aga Khan University, Karachi, Pakistan

Adult Cardiology, Aga Khan University, Karachi, Pakistan.

出版信息

BMJ Case Rep. 2021 Mar 24;14(3):e242542. doi: 10.1136/bcr-2021-242542.

DOI:10.1136/bcr-2021-242542
PMID:33762295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7993336/
Abstract

A 34-year-old man presented with central chest pain heralded by bilateral arm numbness, tingling and pain soon after donation of 1000 mL of COVID-19 convalescent plasma (CP). ECG showed ST-elevation in lateral leads and coronary angiogram showed large thrombus in diagonal branch of the left anterior descending artery. The patient underwent successful thrombus aspiration and percutaneous coronary intervention of diagonal branch. In this report, we describe a case of coronary thrombosis leading to ST-elevation myocardial infarction in a naïve plasma donor after donation of COVID-19 CP.

摘要

一名34岁男性在捐献1000毫升新冠康复者血浆(CP)后不久,出现双侧手臂麻木、刺痛和疼痛,随后出现中央胸痛。心电图显示侧壁导联ST段抬高,冠状动脉造影显示左前降支对角支有大血栓。患者成功进行了血栓抽吸及对角支经皮冠状动脉介入治疗。在本报告中,我们描述了一例在新冠康复者血浆捐献后,初诊血浆捐献者发生冠状动脉血栓形成导致ST段抬高型心肌梗死的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21dd/7993336/2979e3612ad6/bcr-2021-242542f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21dd/7993336/b038f07b135e/bcr-2021-242542f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21dd/7993336/2979e3612ad6/bcr-2021-242542f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21dd/7993336/b038f07b135e/bcr-2021-242542f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21dd/7993336/2979e3612ad6/bcr-2021-242542f02.jpg

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本文引用的文献

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The Effect of Convalescent Plasma Therapy on Mortality Among Patients With COVID-19: Systematic Review and Meta-analysis.恢复期血浆疗法对 COVID-19 患者死亡率的影响:系统评价和荟萃分析。
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The use of therapeutic apheresis in cardiovascular disease.治疗性血液成分单采术在心血管疾病中的应用。
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