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SARS-CoV-2 mRNA疫苗接种后发生的心肌炎,病例系列报道

Myocarditis following mRNA vaccination against SARS-CoV-2, a case series.

作者信息

King William W, Petersen Matthew R, Matar Ralph M, Budweg Jeffery B, Cuervo Pardo Lyda, Petersen John W

机构信息

Department of Internal Medicine, University of Florida, 1600 SW Archer Road, Room 4102, Gainesville, FL 32610-0277, United States of America.

Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States of America.

出版信息

Am Heart J Plus. 2021 Aug;8:100042. doi: 10.1016/j.ahjo.2021.100042. Epub 2021 Aug 9.

Abstract

INTRODUCTION

mRNA COVID-19 vaccines have emerged as a new form of vaccination that has proven to be highly safe and effective against COVID-19 vaccination. Rare adverse events including myocarditis have been reported in the literature.

METHODS

Data were gathered from the electronic medical record of four patients personally treated by the authors.

RESULTS

Four patients, ages 20 to 30, presented with myocarditis characterized by chest pain, elevations in troponin-I and C-reactive protein, and negative viral serologies two to four days following mRNA vaccine administration. One had a cardiac MRI showing delayed gadolinium enhancement in a subpericardial pattern. All experienced symptom resolution by the following day, and the two who have returned for follow-up had normal troponin-I and CRP values.

DISCUSSION

Along with previously reported instances, these cases raise suspicion for a possible link between mRNA vaccines and myocarditis.

摘要

引言

mRNA新冠疫苗已成为一种新型疫苗接种形式,事实证明其在预防新冠疫苗接种方面具有高度安全性和有效性。文献中报道了包括心肌炎在内的罕见不良事件。

方法

数据收集自作者亲自治疗的4例患者的电子病历。

结果

4例年龄在20至30岁之间的患者,在接种mRNA疫苗后两到四天出现以胸痛、肌钙蛋白I和C反应蛋白升高以及病毒血清学阴性为特征的心肌炎。其中1例进行了心脏磁共振成像,显示心包下模式的钆延迟强化。所有人在第二天症状均得到缓解,2例接受随访的患者肌钙蛋白I和CRP值正常。

讨论

连同之前报道的病例,这些病例引发了对mRNA疫苗与心肌炎之间可能存在联系的怀疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d998/10978105/f1b5dfb98df9/gr1.jpg

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