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心室壁瘤与室间隔缺损：在新冠疫情期间揭示一例被漏诊的心肌梗死

Ventricular Aneurysm and Septal Defect: Unmasking a Missed Myocardial Infarction Amid the COVID-19 Pandemic.

作者信息

Torres-Valencia Javier, Rivera-Cazaño Claudia, Zavaleta-Camacho Gabriela, Obando-Oviedo Jorge, Diaz-Arocutipa Carlos

机构信息

Department of Cardiology, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru.

Department of Cardiology, Clínica Ricardo Palma, Lima, Peru.

出版信息

CASE (Phila). 2025 Mar 5;9(4):119-123. doi: 10.1016/j.case.2024.12.009. eCollection 2025 Apr.

DOI:10.1016/j.case.2024.12.009
PMID:40309469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12038188/
Abstract

• Late presentation of postinfarct complications may occur during pandemics. • TTE is essential to diagnose postinfarct complications. • Symptoms of postinfarct complications may be masked by COVID-19 symptoms.

摘要

• 心肌梗死后并发症的延迟表现可能在大流行期间出现。

• 经胸超声心动图（TTE）对于诊断心肌梗死后并发症至关重要。

• 心肌梗死后并发症的症状可能被新冠病毒病（COVID-19）症状掩盖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/9ed0786d8bf0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/c31f27228e08/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/73e2e94b26b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/0dc788e7a974/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/8a9392098e91/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/933fbf81d48d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/9ed0786d8bf0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/c31f27228e08/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/73e2e94b26b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/0dc788e7a974/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/8a9392098e91/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/933fbf81d48d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5b/12038188/9ed0786d8bf0/gr5.jpg

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本文引用的文献

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Ventricular septal defect complicating acute myocardial infarction: diagnosis and management. A Clinical Consensus Statement of the Association for Acute CardioVascular Care (ACVC) of the ESC, the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC and the ESC Working Group on Cardiovascular Surgery.急性心肌梗死后并发室间隔缺损的诊断和处理。欧洲心脏病学会急性心血管护理协会（ACVC）、欧洲心脏病学会经皮心血管介入协会（EAPCI）和 ESC 心血管外科学会工作组的临床共识声明。
Eur Heart J. 2024 Jul 21;45(28):2478-2492. doi: 10.1093/eurheartj/ehae363.
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A rare case of concurrent left ventricular aneurysm and ventricular septal rupture complicating an inferior myocardial infarction: a case report.并发左心室动脉瘤和室间隔破裂的急性下壁心肌梗死：1 例报告。
Pan Afr Med J. 2023 Jun 2;45:74. doi: 10.11604/pamj.2023.45.74.39612. eCollection 2023.
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Impact of COVID-19 Pandemic on the Outcomes of Acute Coronary Syndrome.COVID-19 大流行对急性冠状动脉综合征结局的影响。
Curr Probl Cardiol. 2023 Apr;48(4):101575. doi: 10.1016/j.cpcardiol.2022.101575. Epub 2022 Dec 27.
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Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure.患者因慢性心力衰竭就诊，10 个月前发生心肌梗死后出现未识别的并发室间隔破裂和左心室室壁瘤。
BMC Cardiovasc Disord. 2021 Nov 17;21(1):544. doi: 10.1186/s12872-021-02360-4.
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Surgical Treatment of Postinfarction Ventricular Septal Rupture.心肌梗死后室间隔破裂的外科治疗。
JAMA Netw Open. 2021 Oct 1;4(10):e2128309. doi: 10.1001/jamanetworkopen.2021.28309.
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Simultaneous Left Ventricular Aneurysm and Ventricular Septal Rupture Complicating Delayed STEMI Presentation: A Case-Based Review of Post-MI Mechanical Complications Amid the COVID-19 Pandemic.同时并发左心室室壁瘤和室间隔破裂导致延迟性 ST 段抬高型心肌梗死：COVID-19 大流行期间心肌梗死后机械性并发症的基于病例的综述。
J Investig Med High Impact Case Rep. 2021 Jan-Dec;9:23247096211031135. doi: 10.1177/23247096211031135.
7
Mechanical Complications of Acute Myocardial Infarction: A Scientific Statement From the American Heart Association.急性心肌梗死的机械并发症：美国心脏协会的科学声明。
Circulation. 2021 Jul 13;144(2):e16-e35. doi: 10.1161/CIR.0000000000000985. Epub 2021 Jun 15.
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The impact of the COVID-19 pandemic on the care and management of patients with acute cardiovascular disease: a systematic review.COVID-19 大流行对急性心血管病患者的护理和管理的影响：系统评价。
Eur Heart J Qual Care Clin Outcomes. 2021 Jan 25;7(1):18-27. doi: 10.1093/ehjqcco/qcaa084.
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Reduced Rate of Hospital Admissions for ACS during Covid-19 Outbreak in Northern Italy.意大利北部新冠疫情期间急性冠状动脉综合征住院率降低
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