在伊朗的第三级医疗中心住院的COVID-19患者中,心血管疾病的发展
Erfan Kazemi1, Salman Daliri2, Reza Chaman3
1Medical student, Student Research Committee.
The British journal of cardiology
|November 18, 2024
概括
COVID-19患者经常患有心血管疾病 (CVD),包括胸痛和新发性高血压. 这项研究强调了2019年冠状病毒病患者心脏并发症的高发病率.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 内部医学 内部医学
背景情况:
- 心血管疾病 (CVD) 是2019年冠状病毒病 (COVID-19) 患者的一个重大问题.
- 了解COVID-19中心血管疾病的谱系对于患者管理至关重要.
研究的目的:
- 调查COVID-19患者中症状和无症状心血管疾病的发生情况.
- 在一组COVID-19患者中记录心脏表现的类型和发病率.
主要方法:
- 一项横截面研究包括690名COVID-19患者.
- 进行了心血管咨询,心电图,二维胸腔心声学 (TTE) 和血清生物标志物 (CPK-MB,cTn).
- 记录的心血管疾病表现包括胸痛,异常标志物,心痛,心肌梗塞 (MI),心肌炎和高血压.
主要成果:
- 最常见的症状是胸痛 (46%). 新发性高血压发生在10%的患者中.
- 诊断出心肌炎 (1.7%),心肌梗塞 (0.7%) 和不稳定的心痛 (2.8%).
- 在TTE的31.1%中发现心周溢出,而异常的心电图发现 (T波变化) 是常见的 (41.8%).
结论:
- 心血管干预在COVID-19患者中很普遍.
- 很大一部分COVID-19患者表现出需要注意的心脏并发症.
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