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两例年轻男性成年人在接种 COVID-19 mRNA 疫苗后出现急性心肌炎:相似与不同之处。

Two Cases of Acute Myocarditis in Young Male Adults After mRNA Vaccines Against COVID-19: Similarities and Differences.

机构信息

Department of Cardiology, General Hospital of Veroia, Veroia, Greece.

出版信息

Med Arch. 2022 Jun;76(3):215-220. doi: 10.5455/medarh.2022.76.215-220.

Abstract

BACKGROUND

The advent of the new coronavirus SARS-CoV-2 has created unprecedented situations, both in terms of health and socio-economic level, worldwide. The emergence of vaccines against this highly contagious virus has raised hopes for its effective inhibition. The efficacy of vaccines, in more than a year of their application in clinical practice, is indisputable, both in terms of reducing serious hospitalizations and deaths, especially in high-risk populations. As with any new medication, the quest and investigation for side effects are reasonable. Myocarditis is one of the extremely rare side effects reported in mRNA vaccines, especially in young males.

CASE PRESENTATION

We present two cases of myocarditis that occurred in our hospital in a short time between them and compare them point by point to identify similarities and differences in order to draw conclusions about the severity of this side effect and its outcome.

CONCLUSION

The benefits of vaccination against Covid-19 outweigh possible untoward effects and especially myocarditis. Health workers must close monitor the vaccinated patients for possible future cardiovascular complications.

摘要

背景

新型冠状病毒 SARS-CoV-2 的出现,无论是在健康还是社会经济水平方面,都在全球范围内造成了前所未有的局面。针对这种高传染性病毒的疫苗的出现,为其有效抑制带来了希望。在一年多的临床应用中,疫苗的疗效是毋庸置疑的,无论是在减少严重住院和死亡方面,特别是在高危人群中。与任何新药一样,对副作用的探索和调查是合理的。心肌炎是 mRNA 疫苗报告的极罕见副作用之一,尤其是在年轻男性中。

病例介绍

我们在短时间内报告了我院发生的两例心肌炎病例,并对其进行了逐一比较,以确定相似点和不同点,从而得出关于这种副作用严重程度及其结果的结论。

结论

接种 COVID-19 疫苗的益处大于可能的不良反应,尤其是心肌炎。医务人员必须密切监测接种疫苗的患者,以防可能出现未来的心血管并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63db/9478807/a2cffc4aee4e/medarch-76-215-g001.jpg

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