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病例报告:一名患有与新冠病毒疫苗相关心肌炎的年轻患者延迟钆增强消失及功能完全恢复

Case Report: Disappearance of Late Gadolinium Enhancement and Full Functional Recovery in a Young Patient With SARS-CoV-2 Vaccine-Related Myocarditis.

作者信息

Korosoglou Grigorios, Nunninger Peter, Giusca Sorin

机构信息

Department of Cardiology and Vascular Medicine, GRN Hospital Weinheim, Weinheim, Germany.

Cardiac Imaging Center Weinheim, Hector Foundation, Weinheim, Germany.

出版信息

Front Cardiovasc Med. 2022 Mar 8;9:852931. doi: 10.3389/fcvm.2022.852931. eCollection 2022.

Abstract

Acute myocarditis was recently demonstrated in previously healthy young male patients after receipt of mRNA SARS-CoV-2 vaccines. Herein, we report on a 21-year-old man who presented with acute fatigue, myalgia, and chest pain 2 days after his second SARS-CoV-2 vaccination with BNT162b2. Cardiac magnetic resonance (CMR) showed acute myocarditis, with mildly impaired LV-function and abundant subepicardial late gadolinium enhancement (LGE). Control CMR after 3 months showed full functional recovery and complete disappearance of LGE. The benefits of SARS-CoV-2 vaccination may significantly exceed the very rare and, in this case, fully reversible adverse effects.

摘要

近期研究表明,此前健康的年轻男性患者在接种新冠病毒mRNA疫苗后出现了急性心肌炎。在此,我们报告一名21岁男性,在接种第二剂BNT162b2新冠病毒疫苗2天后出现急性疲劳、肌痛和胸痛。心脏磁共振成像(CMR)显示为急性心肌炎,左心室功能轻度受损,心外膜下有大量延迟钆增强(LGE)。3个月后的对照CMR显示功能完全恢复,LGE完全消失。接种新冠病毒疫苗的益处可能显著超过这种非常罕见且在本例中完全可逆的不良反应。

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