通过多模态冠状动脉成像评估新冠病毒感染康复后斑块侵蚀所致急性心肌梗死
Acute Myocardial Infarction Caused by Plaque Erosion After Recovery From COVID-19 Infection Assessed by Multimodality Intracoronary Imaging.
作者信息
Matsuda Kazuki, Sugiyama Tomoyo, Hoshino Masahiro, Kakuta Tsunekazu
机构信息
Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tsuchiura, JPN.
出版信息
Cureus. 2022 Jun 1;14(6):e25565. doi: 10.7759/cureus.25565. eCollection 2022 Jun.
We report a case of non-ST-elevation acute myocardial infarction after recovery from COVID-19 infection. An emergency coronary angiography revealed 50% stenosis with thrombotic occlusion in the middle left anterior descending artery. Optical coherence tomography and coronary angioscopy revealed plaque erosion with mixed thrombus on a lipid-rich plaque. This case report may help to understand the underlying mechanisms of cardiac complications following COVID-19 infection.
我们报告一例新冠病毒感染康复后发生的非ST段抬高型急性心肌梗死病例。急诊冠状动脉造影显示左前降支中段有50%的狭窄并伴有血栓性闭塞。光学相干断层扫描和冠状动脉血管镜检查显示富含脂质的斑块上有斑块侵蚀并伴有混合血栓形成。本病例报告可能有助于了解新冠病毒感染后心脏并发症的潜在机制。
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