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Tex Heart Inst J. 2022 Nov 1;49(6). doi: 10.14503/THIJ-20-7488.
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Tex Heart Inst J. 2022 Nov 1;49(6). doi: 10.14503/THIJ-22-7960.

本文引用的文献

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Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19).COVID-19 患者近期康复后的心血管磁共振成像结果。
JAMA Cardiol. 2020 Nov 1;5(11):1265-1273. doi: 10.1001/jamacardio.2020.3557.
2
Association of Cardiac Infection With SARS-CoV-2 in Confirmed COVID-19 Autopsy Cases.心脏感染与确诊 COVID-19 尸检病例中 SARS-CoV-2 的关联。
JAMA Cardiol. 2020 Nov 1;5(11):1281-1285. doi: 10.1001/jamacardio.2020.3551.
3
Microthrombi and ST-Segment-Elevation Myocardial Infarction in COVID-19.新型冠状病毒肺炎中的微血栓与 ST 段抬高型心肌梗死。
Circulation. 2020 Aug 25;142(8):804-809. doi: 10.1161/CIRCULATIONAHA.120.049294. Epub 2020 Jul 17.
4
Antibody testing for coronavirus disease 2019: not ready for prime time.针对 2019 年冠状病毒病的抗体检测：尚未准备好进入黄金时间。
BMJ. 2020 Jul 3;370:m2655. doi: 10.1136/bmj.m2655.
5
Spontaneous Coronary Artery Dissection in a Patient With COVID-19.一名新冠肺炎患者的自发性冠状动脉夹层
JACC Cardiovasc Interv. 2020 Jun 22;13(12):e107-e108. doi: 10.1016/j.jcin.2020.04.006. Epub 2020 Apr 8.
6
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7
Multivessel coronary thrombosis in a patient with COVID-19 pneumonia.一名新冠肺炎患者出现多支冠状动脉血栓形成。
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9
Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19).COVID-19 患者的致命结局对心血管的影响。
JAMA Cardiol. 2020 Jul 1;5(7):811-818. doi: 10.1001/jamacardio.2020.1017.
10
Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study.113 例新冠肺炎死亡患者的临床特征：回顾性研究。
BMJ. 2020 Mar 26;368:m1091. doi: 10.1136/bmj.m1091.

轻度 COVID-19 后扩张型心肌病伴多发左心室血栓和脑栓塞。

Dilated Cardiomyopathy With Multiple Left Ventricular Thrombi and Embolic Stroke After Mild COVID-19.

机构信息

Department of Cardiology, Apollo Main Hospital, Chennai, India.

Department of Radiology, Apollo Main Hospital, Chennai, India.

出版信息

Tex Heart Inst J. 2022 Nov 1;49(6). doi: 10.14503/THIJ-20-7488.

DOI:10.14503/THIJ-20-7488
PMID:36450145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9809098/
Abstract

COVID-19 is a novel disease with multisystem involvement, but most patients have pulmonary and cardiovascular involvement in the acute stages. The cardiovascular impact of acute COVID-19 is well recognized and ranges from myocarditis, arrhythmias, and thrombotic occlusion of coronary arteries to spontaneous coronary artery dissection and microthrombi in small coronary vessels on autopsy. We report a case of a 37-year-old man who recovered from mild COVID-19 only to present a few weeks later with devastating cardiovascular involvement that included severe left ventricular impairment resulting from nonischemic cardiomyopathy, multiple left ventricular thrombi, and embolic stroke.

摘要

新型冠状病毒肺炎（COVID-19）是一种多系统受累的疾病，但大多数患者在急性阶段有肺部和心血管受累。急性 COVID-19 的心血管影响已得到充分认识，范围从心肌炎、心律失常和冠状动脉血栓形成到冠状动脉自发性夹层和小冠状动脉血管的微血栓形成。我们报告了一例 37 岁男性，他从轻度 COVID-19 中康复，但数周后出现严重的心血管受累，包括非缺血性心肌病引起的严重左心室功能障碍、多发性左心室血栓和栓塞性卒中。