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在患有过渡型I型布鲁加达模式的非发烧COVID-19患者中出现心室动

Judah A Kreinbrook¹, Annalia Foster², Luis Paulino³

¹School of Medicine, Duke University, Durham, USA.

|May 30, 2023

概括

COVID-19患者可能会出现布鲁加达的副本,模仿布鲁加达综合征的心律失常. 这一案例突显了在无发烧的COVID-19患者中患有短暂的I型Brugada模式的腹腔动的风险,强调了警.

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
遗传学遗传学是一个

背景情况:

COVID-19增加了心律失常的风险,包括心房和心室心律失常.
布鲁加达综合征 (BrS) 呈现出心室心律失常 (VF) 的基线风险,特别是在发烧性疾病期间.
布鲁加达拷贝 (BrP) 模仿BrS心电图模式,并可以由各种条件,包括感染触发.

研究的目的:

在COVID-19患者中报告一种新的心室动病例,该病例患有过渡性I型布鲁加达模式 (I型BP).
讨论在急性疾病期间区分BrS和BrP的诊断挑战.
强调在COVID-19患者中以指导方针为导向的管理和心律失常警的重要性,这些患者呈现I型BP.

主要方法:

一名SARS-CoV-2阳性男性出现I型血压,低氧化,高血糖,高血糖和急性损伤的病例报告.
临床监测心电图变化,包括治疗后的正常化和随后的I型血压复发.
在无发烧和正常血状态下观察堕胎的VF,心电图显示I型血压,特别是在胸肌梗塞期间.

主要成果:

患者在急性COVID-19期间出现了I型血压,在治疗后得到缓解.
流产的VF发生在几天后的无发烧状态下,电解质正常化,而I型血压复发.
类型I血压在心肌梗塞期间变得更加明显,这是BrS的一个特征性发现.

结论:

急性COVID-19可以引发暂时的I型血压和潜在的危及生命的心律失常,如VF,即使在无发烧状态.
在急性疾病中区分BrS和BrP是具有挑战性的;在可行的情况下,建议进行基因测试.
对于COVID-19患者来说,对心律失常的高度警至关重要,直到完全康复,符合当前的临床指南.

关键词:

在发烧前,有发烧.布拉加达的复印件复印件布鲁加达综合征是什么意思在COVID-19中,有很多人.电心电图 (ECG) 是一种心电图.腹腔动脉动是一种心房动.

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