Namburu Lalith, Bhogal Sukhdeep S, Ramu Vijay K
Internal Medicine, East Tennessee State University Quillen College of Medicine, Johnson City, USA.
Cardiology, East Tennessee State University Quillen College of Medicine, Johnson City, USA.
Cureus. 2021 Oct 11;13(10):e18693. doi: 10.7759/cureus.18693. eCollection 2021 Oct.
Coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has emerged as a global pandemic with an unprecedented death toll worldwide. Although it primarily affects the respiratory tract presenting as pneumonia or acute respiratory failure, it is also known to cause significant cardiovascular complications, including acute coronary syndrome (ACS), arrhythmia, myopericarditis, cardiomyopathy, venous thromboembolism, heart failure, and cardiogenic shock. Morbidity and mortality secondary to cardiovascular complications are higher in patients with preexisting cardiovascular risk factors. Here, we present a case report of a 69-year-old male who was recently diagnosed with COVID-19 illness presenting with ST-elevation myocardial infarction (STEMI) and eventually with Takotsubo cardiomyopathy (TTC), and the course was complicated by right atrial thrombus and a pulmonary embolism (PE).
2019年冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起,已演变成一场全球大流行,在全球造成了前所未有的死亡人数。虽然它主要影响呼吸道,表现为肺炎或急性呼吸衰竭,但也已知会导致严重的心血管并发症,包括急性冠状动脉综合征(ACS)、心律失常、心肌心包炎、心肌病、静脉血栓栓塞、心力衰竭和心源性休克。已有心血管危险因素的患者因心血管并发症导致的发病率和死亡率更高。在此,我们报告一例69岁男性病例,该患者最近被诊断为COVID-19疾病,表现为ST段抬高型心肌梗死(STEMI),最终发展为Takotsubo心肌病(TTC),病程中并发右心房血栓和肺栓塞(PE)。