[SARS-CoV-2患者心膜炎的临床特征]
Luis Alonso Martínez-Mata1, Silvia Amparo Ledesma-Ramírez2, Xóchitl Ramos-Ramos3
1Instituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Especialidades No. 1, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.
Revista medica del Instituto Mexicano del Seguro Social
|November 28, 2023
概括
心周炎是COVID-19的罕见并发症,影响0.30%的患者. 胸部疼痛是最常见的症状,但许多患者缺乏典型的心电图变化或并发症,强调了早期诊断的必要性.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19 (2019年冠状病毒疾病) 具有显著的心血管风险,包括心膜炎.
- 与COVID-19相关的心膜炎的及时治疗可以减轻致命的结果.
- 了解这种并发症的发生率和特征对于及时诊断至关重要.
研究的目的:
- 为了确定COVID-19感染后心膜炎的频率.
- 为了描述COVID-19相关心膜炎的临床表现.
主要方法:
- 在被诊断为COVID-19后心膜炎的患者中进行了一项横截面研究.
- 收集的数据包括症状,人口统计,并发症和诊断测试结果 (心电图,TTE).
主要成果:
- 在3364名COVID-19患者 (10例) 中,心周炎发生在0.30%的人群中.
- 平均年龄为46.1岁,男性占比为60%.
- 常见的症状包括背骨疼痛 (90%),50%没有并发症,40%没有表现出心电图变化.
结论:
- 心炎是COVID-19的罕见并发症之一.
- 胸痛是主要的临床表现.
- 很大一部分患者可能缺乏典型的心电图检测结果和并发症,这凸显了诊断方面的挑战.
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