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.
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。
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