Nikoo Mohammad Hossein, Mozaffari Reza, Hatamnejad Mohammad Reza, Bazrafshan Mehdi, Kasaei Mohammad, Bazrafshan Hamed
Associate Professor of Cardiology, Shiraz University of medical science, Non-communicable disease research center, Iran.
Al-Zahra Charity Hospital, Department of Cardiology Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
J Cardiol Cases. 2021 Oct;24(4):177-181. doi: 10.1016/j.jccase.2021.03.009. Epub 2021 Apr 20.
We describe the first case report of fulminant myocarditis and complete heart block which was initially presented by severe systolic dysfunction and tachyarrhythmia, in a patient who recently recovered from covid-19. Continuous close follow-up should be considered for patients infected with COVID-19 after discharge, especially for those with any metabolic and pharmacologic risk factors for the conductive block to recognize these rare complications and reverse CHB early by administering a high dose of corticosteroid or other anti-inflammatory medications. < To illustrate the presentation of COVID-19 fulminant myocarditis by severe systolic dysfunction, tachyarrhythmia, and different degrees of atrioventricular block. To introduce the proper management of fulminant myocarditis in a patient who recently recovered from covid-19.>.
我们报告了首例暴发性心肌炎和完全性心脏传导阻滞的病例，该患者最初表现为严重的收缩功能障碍和快速性心律失常，近期刚从新冠病毒感染中康复。对于新冠病毒感染出院后的患者，尤其是那些有传导阻滞相关代谢和药理学危险因素的患者，应进行持续密切随访，以识别这些罕见并发症，并通过给予高剂量皮质类固醇或其他抗炎药物尽早逆转完全性心脏传导阻滞。<阐述新冠病毒暴发性心肌炎表现为严重收缩功能障碍、快速性心律失常和不同程度房室传导阻滞的情况。介绍近期从新冠病毒感染中康复的患者暴发性心肌炎的恰当管理方法。>
