压缩心脏的副心脏炎症质量:可能与COVID-19有关
Ahmad Mirdamadi1, Amir M M Sadeghi2, Mohsen M M Sadeghi3
1Department of Cardiology, Medical School, Islamic Azad University, Najafabad Branch, Isfahan, Iran.
Sultan Qaboos University medical journal
|September 1, 2023
概括
在SARS-CoV-2感染后出现的一种罕见的对心脏性炎症质. 这种COVID-19后的并发症导致了收缩性心膜炎,需要手术干预.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 导致COVID-19,通常影响肺部,但可能涉及心脏.
- 越来越多地认识到COVID-19的心脏表现,包括心肌炎和心周炎.
- 准心脏质量不常见,它们与SARS-CoV-2感染的关联以前没有被记录.
研究的目的:
- 报告在SARS-CoV-2感染后发生的一种类型心脏性炎症质的独特病例.
- 为了突出潜在的,以前未报告的,COVID-19的心脏并发症.
- 提高临床医生对这种可能性的认识.
主要方法:
- 一个45岁的男性在COVID-19后患有持续性呼吸障碍的病例报告.
- 诊断工作,包括成像,以确定准心脏质量.
- 针对肌肉质量次要的狭窄性心膜炎的手术干预.
- 切除的体质的病理检查.
主要成果:
- 患者出现呼吸不全,并被发现有一个附着在心脏周围的心脏质量.
- 质量造成了收缩性心周炎,需要进行心脏手术.
- 病理学证实了质体的炎症模式.
- 这代表了在SARS-CoV-2感染后出现这种质量的第一例报告.
结论:
- SARS-CoV-2 感染可能与心脏前炎症质的发展有关.
- 收缩性心膜炎可能是这些COVID-19后炎症质量的结果.
- 对于COVID-19后超出典型的肺部参与范围的心脏并发症,需要提高临床警.
相关概念视频
Pericarditis I: Introduction
11
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
11
Myocarditis I: Introduction
9
Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
9
Pericarditis II: Clinical Features and Diagnostic Tests
9
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
9
Myocarditis II: Clinical Features and Diagnostic Tests
12
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
12
Myocarditis III: Medical Management
7
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
7
Cardiomyopathy I: Introduction and Classification
15
Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
15


