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感染新型冠状病毒肺炎患者的完全性心脏传导阻滞:来自一个发展中国家的病例系列

Complete heart block in patients infected with SARS-CoV-2: A case series from a developing country.

作者信息

Sharif Muhammad Hammad, Khan Abdul Wali, Khaleeque Madeeha, Haffar Ammer, Jaiswal Vikash, Song David, Abdelghffar Mohamed, Ahmad Saad, Almas Talal, Hanif Muhammad

机构信息

Cardiology Hayatabad Medical Complex, Pakistan.

IM Hayatabad Medical Complex, Pakistan.

出版信息

Ann Med Surg (Lond). 2021 Sep;69:102828. doi: 10.1016/j.amsu.2021.102828. Epub 2021 Sep 6.

Abstract

Coronavirus Disease 19 (COVID-19) has led to a global pandemic and has been the center of attention across the entire medical community. This novel virus was initially thought to affect primarily the respiratory system, but now it is evident that it has a multitude of effects on the human body. Our point of interest is to establish the effect of COVID-19 infection on the conducting system of the heart. We present a case series of four patients who developed complete heart block (CHB) shortly after being infected with COVID-19 without any previous known risk factors of complete heart block. There have only been a few previous case reports on the occurrence of CHB in COVID-19 patients highlighting the importance and the need of our case series to the literature of cardiovascular outcomes in COVID-19 patients. Our case series highlight that COVID-19 can indeed affect the conduction system of the heart and cause CHB in patients who then recovered spontaneously further elucidating the transient nature of cardiovascular effects caused by the novel virus.

摘要

新型冠状病毒肺炎(COVID-19)已引发全球大流行,一直是整个医学界关注的焦点。这种新型病毒最初被认为主要影响呼吸系统,但现在很明显它对人体有多种影响。我们感兴趣的是确定COVID-19感染对心脏传导系统的影响。我们呈现了一个包含四名患者的病例系列,这些患者在感染COVID-19后不久就出现了完全性心脏传导阻滞(CHB),且之前没有任何已知的完全性心脏传导阻滞风险因素。之前仅有几例关于COVID-19患者发生CHB的病例报告,凸显了我们这个病例系列对COVID-19患者心血管结局文献的重要性和必要性。我们的病例系列强调,COVID-19确实会影响心脏传导系统,并导致患者出现CHB,随后这些患者又自发康复,这进一步阐明了这种新型病毒引起的心血管效应的短暂性。

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