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COVID-19 感染并发急性 ST 段抬高型心肌梗死。

COVID-19 infection complicated by acute ST-elevation myocardial infarction.

机构信息

University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States of America.

University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States of America.

出版信息

Clin Imaging. 2021 Oct;78:117-120. doi: 10.1016/j.clinimag.2021.03.010. Epub 2021 Mar 24.

DOI:10.1016/j.clinimag.2021.03.010
PMID:33774577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7987505/
Abstract

Clinicians should be aware of the potential for cardiovascular involvement in COVID-19 infection. Coronavirus disease-2019 (COVID-19) is a viral illness caused by severe acute respiratory syndrome-coronavirus-2. While it primarily causes a respiratory illness, a number of important cardiovascular implications have been reported. We describe a patient presenting with COVID-19 whose hospital course was complicated by ST elevation myocardial infarction requiring percutaneous coronary intervention. The goal is to help clinicians gain awareness of the possibility of cardiovascular disease in COVID-19 infection, and maintain a high index of suspicion particularly for patients with risk factors or a prior history of cardiovascular disease.

摘要

临床医生应该意识到 COVID-19 感染可能涉及心血管系统。冠状病毒病 2019(COVID-19)是由严重急性呼吸综合征冠状病毒 2 引起的病毒性疾病。虽然它主要引起呼吸道疾病,但已经报道了许多重要的心血管影响。我们描述了一位患有 COVID-19 的患者,其住院过程中并发 ST 段抬高型心肌梗死,需要经皮冠状动脉介入治疗。目的是帮助临床医生意识到 COVID-19 感染中可能存在心血管疾病,并对有危险因素或既往心血管病史的患者保持高度警惕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c374/7987505/851eea4c88c9/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c374/7987505/501310489ad9/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c374/7987505/3c7634ef29da/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c374/7987505/851eea4c88c9/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c374/7987505/501310489ad9/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c374/7987505/3c7634ef29da/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c374/7987505/851eea4c88c9/gr3_lrg.jpg

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本文引用的文献

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Multivessel coronary thrombosis in a patient with COVID-19 pneumonia.一名新冠肺炎患者出现多支冠状动脉血栓形成。
Eur Heart J. 2020 Jun 7;41(22):2132. doi: 10.1093/eurheartj/ehaa393.
2
Clinical Pathway for Management of Suspected or Positive Novel Coronavirus-19 Patients With ST-Segment Elevation Myocardial Infarction.疑似或确诊新型冠状病毒肺炎合并ST段抬高型心肌梗死患者的临床管理路径
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CT characteristics of patients infected with 2019 novel coronavirus: association with clinical type.
新型冠状病毒感染患者的 CT 特征:与临床类型的相关性。
Clin Radiol. 2020 Jun;75(6):408-414. doi: 10.1016/j.crad.2020.04.001. Epub 2020 Apr 7.
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Potential Effects of Coronaviruses on the Cardiovascular System: A Review.冠状病毒对心血管系统的潜在影响:综述。
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Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19).COVID-19 患者的致命结局对心血管的影响。
JAMA Cardiol. 2020 Jul 1;5(7):811-818. doi: 10.1001/jamacardio.2020.1017.
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Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China.中国心血管代谢疾病对 COVID-19 的流行和影响。
Clin Res Cardiol. 2020 May;109(5):531-538. doi: 10.1007/s00392-020-01626-9. Epub 2020 Mar 11.
7
SARS-CoV-2 is an appropriate name for the new coronavirus.严重急性呼吸综合征冠状病毒2型是这种新型冠状病毒的恰当名称。
Lancet. 2020 Mar 21;395(10228):949-950. doi: 10.1016/S0140-6736(20)30557-2. Epub 2020 Mar 6.
8
Clinical Characteristics of Imported Cases of Coronavirus Disease 2019 (COVID-19) in Jiangsu Province: A Multicenter Descriptive Study.江苏省输入性新型冠状病毒肺炎(COVID-19)病例的临床特征:一项多中心描述性研究。
Clin Infect Dis. 2020 Jul 28;71(15):706-712. doi: 10.1093/cid/ciaa199.
9
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JAMA. 2020 Mar 17;323(11):1061-1069. doi: 10.1001/jama.2020.1585.
10
Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.中国武汉地区 2019 年新型冠状病毒感染患者的临床特征。
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