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接种基于 rAd26 和 rAd5 载体的 COVID-19 疫苗后出现心肌炎:病例报告。

Myocarditis following rAd26 and rAd5 vector-based COVID-19 vaccine: case report.

机构信息

Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

ESC Heart Fail. 2022 Apr;9(2):1483-1486. doi: 10.1002/ehf2.13821. Epub 2022 Feb 1.

Abstract

SARS-CoV-2 vaccines provide a safe solution with a major impact on reducing the spread of the virus and mild side effects. Research has shown rare cases of myocarditis after mRNA vaccines. This study presents a 29-year-old male with chest pain after 48 h of receiving rAd26 and rAd5 vector-based COVID-19 vaccine (Sputnik V vaccine). The electrocardiogram revealed ST-segment elevation. Also, the laboratory screening was remarkable for elevated cardiac Troponin-I level, and leukocytosis; and echocardiography depicted severe left ventricular systolic dysfunction. Overall, endomyocardial biopsy proved lymphocytic myocarditis such that the patient was successfully treated with immunosuppressive and guideline-directed medical treatment.

摘要

SARS-CoV-2 疫苗提供了一种安全的解决方案,对减少病毒传播和轻微副作用有重大影响。研究表明,mRNA 疫苗接种后罕见心肌炎病例。本研究报告了一例 29 岁男性,在接种 rAd26 和 rAd5 载体基于 COVID-19 疫苗(卫星 V 疫苗)后 48 小时出现胸痛。心电图显示 ST 段抬高。此外,实验室筛查显示心肌肌钙蛋白 I 水平升高、白细胞增多;超声心动图显示严重左心室收缩功能障碍。总之,心肌内膜活检证实为淋巴细胞性心肌炎,因此患者成功接受免疫抑制和指南导向的药物治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c99/8934948/19916a6e9816/EHF2-9-1483-g002.jpg

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