Cardiology, Mercy University Hospital, Cork, Ireland
Tower Medical Centre, Cork, Ireland.
BMJ Case Rep. 2021 Jun 14;14(6):e243585. doi: 10.1136/bcr-2021-243585.
A 22-year-old woman was referred with exertional dyspnoea and chest tightness 3 weeks following a diagnosis of COVID-19. Evaluation revealed a resting sinus tachycardia and criteria for postural orthostatic tachycardia syndrome were met. After non-pharmacological interventions failed to yield symptomatic improvement, ivabradine was commenced. This intervention was followed by a substantial improvement in the patient's exercise tolerance and energy levels and an objective reduction in supine and standing heart rate.
一位 22 岁女性在诊断出 COVID-19 后 3 周出现活动后呼吸困难和胸部紧绷感,被转介过来。评估显示静息窦性心动过速,符合体位性心动过速综合征的标准。非药物干预未能改善症状后,开始使用伊伐布雷定。该干预措施后,患者的运动耐量和能量水平显著改善,仰卧位和站立位心率客观降低。