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新冠疫苗接种后发生的心肌外层炎

Perimyocarditis Following COVID-19 Vaccination.

作者信息

Tinoco Mariana, Leite Sérgio, Faria Bebiana, Cardoso Sara, Von Hafe Pedro, Dias Geraldo, Cardoso Filipa, Pereira Tamara, Machado Inocência, Lourenço António

机构信息

Hospital da Senhora da Oliveira, Guimarães, Portugal.

出版信息

Clin Med Insights Cardiol. 2021 Nov 24;15:11795468211056634. doi: 10.1177/11795468211056634. eCollection 2021.

Abstract

A 39-year-old male was admitted in the emergency room with chest pain. He had been given the second dose of Pfizer-BioNTech COVID-19 vaccine 3 days before. The patient denied taking any other medication beyond the usual. He didn't feel sick in the previous days/weeks. Laboratory studies revealed elevated serum levels of troponin and C-reactive protein. An autoantibody screen and a serologic panel to detect common viruses were negative. A cardiac MRI showed myocardial edema/inflammation and confirmed the diagnosis of perimyocarditis which was considered to be a consequence of COVID-19 vaccination. Physicians should be aware of the possibility of cardiovascular complications after COVID-19 vaccination.

摘要

一名39岁男性因胸痛被送入急诊室。他在3天前接种了第二剂辉瑞-BioNTech新冠疫苗。患者否认服用过常规用药以外的任何其他药物。在之前的几天/几周内他没有感到不适。实验室检查显示肌钙蛋白和C反应蛋白的血清水平升高。自身抗体筛查以及检测常见病毒的血清学检查均为阴性。心脏磁共振成像显示心肌水肿/炎症,并确诊为心包心肌炎,这被认为是新冠疫苗接种的结果。医生应意识到新冠疫苗接种后出现心血管并发症的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5df/8637777/cd94b819465c/10.1177_11795468211056634-fig1.jpg

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