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新型冠状病毒肺炎(COVID-19)后急性心肌梗死

[ACUTE MYOCARDIAL INFARCTION FOLLOWING COVID-19].

作者信息

Poletaev Vladimir, Antonelli Dante, Rozner Ehud, Turgeman Yoav

机构信息

Department of Cardiology, Ha'Emek Medical Center, Afula, Israel.

出版信息

Harefuah. 2022 Jul;161(7):416-418.

Abstract

A 30 years old woman suffered from Covid-19 that resolved after 4 days. A week later she complained of chest pain and referred to the emergency room. Myocarditis was the first working diagnosis, but in the following few hours acute ST elevation myocardial infarction was diagnosed according to clinical signs, ECG changes, laboratory and coronary angiography findings. She successfully underwent stenting of the left anterior descending (LAD) coronary artery. The patient was discharged a week later in good condition. At 6 months follow-up her clinical condition had improved and an echocardiography showed LVEF=45%. Covid-19 infection may be a trigger for ST elevation myocardial infarction even in young people without a clear presence of cardiovascular risk factors.

摘要

一名30岁女性感染新冠病毒,4天后康复。一周后,她主诉胸痛,被转诊至急诊室。最初诊断为心肌炎,但在接下来的几个小时内,根据临床症状、心电图变化、实验室检查及冠状动脉造影结果,诊断为急性ST段抬高型心肌梗死。她成功接受了左前降支(LAD)冠状动脉支架置入术。一周后患者康复出院。在6个月的随访中,她的临床状况有所改善,超声心动图显示左心室射血分数(LVEF)为45%。即使在没有明显心血管危险因素的年轻人中,新冠病毒感染也可能是ST段抬高型心肌梗死的诱发因素。

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