Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Cardiovascular Center, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Am J Case Rep. 2022 May 10;23:e935577. doi: 10.12659/AJCR.935577.
BACKGROUND COVID-19 is a pandemic caused by a coronavirus that has only recently been discovered. The disorder is characterized by persistent respiratory system malfunction, which can range from modest difficulty breathing to potentially lethal complications such as acute respiratory distress syndrome. Additional organs are affected as a result of its presence. An adverse impact of COVID-19 infection is myocarditis, which is a condition that affects the heart muscle. CASE REPORT We describe the case of a 38-year-old woman who was hospitalized at University Medical Center Ho Chi Minh City following a 15-day fever, a 3-day bout of dyspnea, and a positive nasal PCR SAR-CoV-2 test. The Lake Louise criteria were used to determine that the patient had a high probability of having myocarditis. She was then treated with oxygen treatment, vasoconstrictor medicines, inotropic therapy, and cornerstone heart failure medications, and was discharged 2 weeks later after a complete recovery. CONCLUSIONS Myocarditis has been identified as a cause of death in COVID-19, although it is not known how common the ailment is in the general population. Early detection and complete treatment, which should include support for the cardiovascular system, are consequently critical for successful outcomes. Magnetic resonance imaging (MRI) of the cardiovascular system (cardiac MRI) is the most important noninvasive method for diagnosing myocarditis.
COVID-19 是由一种最近才发现的冠状病毒引起的大流行疾病。该疾病的特征是持续的呼吸系统功能障碍,从轻微的呼吸困难到急性呼吸窘迫综合征等潜在致命并发症不等。由于其存在,其他器官也会受到影响。COVID-19 感染的一个不良影响是心肌炎,它会影响心肌。
我们描述了一名 38 岁女性的病例,她在胡志明市医疗中心住院,此前她发烧 15 天,呼吸困难 3 天,鼻 PCR SAR-CoV-2 检测呈阳性。使用路易斯湖标准确定该患者患有心肌炎的可能性很高。随后,她接受了氧疗、血管收缩剂药物、正性肌力治疗和心力衰竭基石药物治疗,2 周后完全康复出院。
心肌炎已被确定为 COVID-19 的死亡原因,尽管尚不清楚该疾病在普通人群中的发病率有多高。早期发现和彻底治疗,包括对心血管系统的支持,因此对获得成功结果至关重要。心血管系统(心脏 MRI)的磁共振成像(MRI)是诊断心肌炎的最重要的非侵入性方法。