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新冠病毒19感染中对类固醇治疗有反应的心室颤动风暴:一例报告

Ventricular fibrillation storm in COVID 19 responding to steroid therapy: A case report.

作者信息

Kumar Dilip, Malviya Amit, Saha Amitabha, Roy RanaRathor, Khan ShakeelAhamad, Mishra Animesh, Chakraborty Rabin

机构信息

Department of Cardiology, Medica Institute of Cardiac Science, Kolkata, West Bengal, India.

Department of Cardiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences(NEIGRIHMS), Shillong, India.

出版信息

IHJ Cardiovasc Case Rep. 2021 Sep-Dec;5(3):177-180. doi: 10.1016/j.ihjccr.2021.07.007. Epub 2021 Jul 13.

Abstract

Cardiac arrhythmias are common in patients of COVID -19 and frequently complicate the clinical course of critically ill patients. Life threatening arrhythmia including ventricular fibrillation less common but are reported to be more common in patients with elevated cardiac troponins. The mechanisms of arrhythmia in COVID 19 are multifactorial and arise from either direct cardiac involvement, from consequences systemic affection or drug interactions. The successful management requires correct identification of the cause. We report a case of VF storm in a patient with COVID 19 who responded to steroid therapy. Controlling the fulminant inflammation may reduce the burden of arrhythmia in appropriate cases.

摘要

心律失常在新冠肺炎患者中很常见,并且经常使危重症患者的临床病程复杂化。包括心室颤动在内的危及生命的心律失常较少见,但据报道在心肌肌钙蛋白升高的患者中更常见。新冠肺炎患者心律失常的机制是多因素的,要么源于心脏直接受累,要么源于全身影响的后果或药物相互作用。成功的治疗需要正确识别病因。我们报告了一例新冠肺炎患者发生室颤风暴,该患者对类固醇治疗有反应。在适当的病例中,控制暴发性炎症可能会减轻心律失常的负担。

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本文引用的文献

1
Arrhythmias and COVID-19: A Review.心律失常与 COVID-19:综述。
JACC Clin Electrophysiol. 2020 Sep;6(9):1193-1204. doi: 10.1016/j.jacep.2020.08.002. Epub 2020 Aug 10.
4
Effective treatment of severe COVID-19 patients with tocilizumab.托珠单抗治疗重症 COVID-19 患者有效。
Proc Natl Acad Sci U S A. 2020 May 19;117(20):10970-10975. doi: 10.1073/pnas.2005615117. Epub 2020 Apr 29.
5
COVID-19, Arrhythmic Risk, and Inflammation: Mind the Gap!新型冠状病毒肺炎、心律失常风险与炎症:注意差距!
Circulation. 2020 Jul 7;142(1):7-9. doi: 10.1161/CIRCULATIONAHA.120.047293. Epub 2020 Apr 14.

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