一份长期COVID-19和慢性活跃心肌炎病例报告
Stefano Elia1, Simona De Vecchi1, Domenico D'Amario1
1Department of Translational Medicine, University of Eastern Piedmont, Corso Mazzini 18, Padiglione A, Novara 28100, Italy.
European heart journal. Case reports
|March 31, 2025
概括
长期的COVID-19可以导致新发性心力衰竭,包括心肌炎和渐进性心肌纤维化. 早期识别和治疗对于在SARS-CoV-2幸存者中管理这些严重的心脏并发症至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 病理学 病理学 病理学
背景情况:
- SARS-CoV-2 感染 (PASC) 或长期COVID-19 的后急性后续症状呈现出各种症状.
- 虽然已知已经存在的心脏病的恶化,但COVID-19后的新发心力衰竭发病情况尚不清楚.
- 心肌炎是SARS-CoV-2感染的严重并发症,可能导致慢性心肌损伤.
研究的目的:
- 在SARS-CoV-2感染后报告一个罕见的新发心力衰竭病例.
- 为了说明长期COVID-19患者的临床过程和心脏参与进展.
- 强调早期识别和管理SARS-CoV-2幸存者的心脏并发症的重要性.
主要方法:
- 一名74岁的男性患有SARS-CoV-2诱导的肺炎的病例报告.
- 临床评估包括计算机断层扫描和连续心脏MRI超过3年.
- 为心力衰竭管理启动药理疗法.
主要成果:
- 患者患有急性心肌炎,进展为心肌纤维化,静脉缩功能障碍和前节律失常状态.
- 相关症状包括认知障碍 ("精神麻木") 和慢性喘息.
- 随着时间的推移,心脏MRI显示了心脏参与的恶化.
结论:
- 长期COVID-19相关心肌炎代表了严重的心脏并发症,需要进行全面的多式联络评估.
- 微妙或误导性的陈述需要谨慎评估,以便早期检测心肌损伤.
- 及时治疗策略至关重要,以防止心力衰竭在受影响个体的进展.
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