在COVID-19后和COVID-19疫苗接种后的CMR发现-相同但不同?
Patrick Doeblin1,2, Constantin Jahnke3, Matthias Schneider3,4
1Department of Internal Medicine/Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany. doeblin@dhzb.de.
The international journal of cardiovascular imaging
|September 19, 2023
概括
心脏磁共振成像 (CMR) 在COVID-19疫苗接种后与COVID-19感染后出现症状的患者中发现了不同的发现. 心肌炎是我们机构心肌炎的主要原因,原因是疫苗接种率高.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 在COVID-19感染后报告了心脏并发症,包括长期症状 (COVID后或长期COVID综合征).
- 在COVID-19疫苗接种后也观察到心脏并发症,需要进行比较分析.
研究的目的:
- 为了比较COVID-19感染后与COVID-19疫苗接种后临床心脏症状的患者的心脏磁共振 (CMR) 发现.
主要方法:
- 在COVID-19感染后怀疑心脏干扰的104名患者和在COVID-19疫苗接种后接受CMR的27名患者的回顾性分析.
- 诊断的评估包括心周炎,心肌炎,缺血和心肌病.
主要成果:
- 在COVID-19后32.7%的患者和81.5%的接种疫苗后患者中,CMR提供了临床相关的诊断.
- 在接种疫苗后 (33.3%) 心肌炎的诊断率高于感染后 (6.7%),尽管这取决于诊断标准.
- 在COVID-19后心肌炎病例中,CMR发现往往不同于与疫苗接种相关的病例,较少匹配胀和晚期加多增强 (LGE).
结论:
- 心肌炎是罕见的,但由于疫苗接种人数很高,在机构中是心肌炎的主要原因.
- 清晰的CMR模式可能会区分COVID-19后的心肌炎感染与疫苗接种后的感染,需要进一步调查.
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