Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Intern Med. 2024 Oct 15;63(20):2815-2820. doi: 10.2169/internalmedicine.3400-23. Epub 2024 Aug 10.
A 70-year-old man was admitted to our hospital for restoration of sinus rhythm from atrial fibrillation by direct current counter shocks. On admission, he had a coronavirus disease 2019 (COVID-19) infection and syncope during bed rest. Electrocardiography revealed polymorphic ventricular tachycardia after ST-segment elevation with a normal QT interval. Coronary angiography revealed coronary vasospasm. Coronary vasospasm may be a cause of polymorphic ventricular tachycardia in COVID-19 patients.
一位 70 岁男性因心房颤动接受直流电复律来恢复窦性节律而入院。入院时,他患有 2019 年冠状病毒病(COVID-19)且在卧床休息时发生晕厥。心电图显示 ST 段抬高后多形性室性心动过速,QT 间期正常。冠状动脉造影显示冠状动脉痉挛。冠状动脉痉挛可能是 COVID-19 患者多形性室性心动过速的一个原因。