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新冠疫苗接种后发生急性心肌梗死:一种罕见的不良反应。

Acute Myocardial Infarction After Coronavirus Vaccine: A Rare Adverse Effect.

作者信息

Iqbal Sameen, Adnan Ghufran, Farhad Awais, Ahmed Intisar, Rahman Muhammad Nasir

机构信息

Cardiology, Aga Khan University, Karachi, PAK.

出版信息

Cureus. 2022 Jan 24;14(1):e21544. doi: 10.7759/cureus.21544. eCollection 2022 Jan.

Abstract

A 61-year-old male presented to the emergency department with left arm and jaw pain for three hours which started 90 minutes after receiving the first dose of Moderna vaccine for coronavirus disease 2019 (COVID-19). He had a prior history of ischemic heart disease. Initial investigations confirmed the diagnosis of acute coronary syndrome. The patient was managed for non-ST-elevation myocardial infarction and percutaneous coronary intervention to the right posterior descending artery was done, and he was discharged after two days of hospital stay. As the patient was doing well for many years and was compliant with medications, this event was likely triggered by the coronavirus vaccine. Healthcare providers should be aware of the side effects of the vaccine and further investigations should be carried out in high-risk patients before vaccination. However, worldwide coronavirus vaccination programs play a significant role to halt this pandemic and these rare adverse side effects of the vaccine should never discourage people from the vaccination but monitoring of evolving data by the concerned authorities is very important so that these events can be prevented in future.

摘要

一名61岁男性因左臂和颌部疼痛3小时前往急诊科,疼痛在接种第一剂2019冠状病毒病(COVID-19)Moderna疫苗90分钟后开始。他既往有缺血性心脏病史。初步检查确诊为急性冠状动脉综合征。该患者接受了非ST段抬高型心肌梗死的治疗,并对右后降支进行了经皮冠状动脉介入治疗,住院两天后出院。由于该患者多年来病情稳定且遵医嘱服药,此次事件很可能是由新冠病毒疫苗引发的。医疗服务提供者应了解疫苗的副作用,在为高危患者接种疫苗前应进行进一步检查。然而,全球范围内的新冠病毒疫苗接种计划在遏制这一疫情方面发挥着重要作用,这些罕见的疫苗不良副作用绝不应阻碍人们接种疫苗,但相关当局对不断变化的数据进行监测非常重要,以便未来能够预防这些事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52ab/8865600/2deaee28f428/cureus-0014-00000021544-i01.jpg

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