[冠状病毒后性心脏动脉炎与心脏参与:进展性大动脉动脉瘤与活跃心肌炎相结合]
O V Blagova1, P O Savina1, E A Kogan1
1I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
后COVID-19感染可以引发慢性免疫炎症,包括罕见的同时发生心肌炎和风脉炎的病例. 这一案例强调了在感染SARS-CoV-2后对心血管并发症保持警的必要性.
科学领域:
- 心脏病学 心脏病学
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 新型冠状病毒感染 (COVID-19) 可以诱导慢性免疫和自身免疫条件后急性感染.
- 后COVID综合征包括一系列问题,从一般症状到特定器官损伤,如心肌炎和全身自身免疫性疾病.
- 隔离后COVID风脉炎是一种罕见的SARS-CoV-2感染并发症.
研究的目的:
- 为了在COVID-19之后呈现同时发生心肌炎和关节炎的临床病例.
- 讨论SARS-CoV-2感染后联合心血管和血管炎症的发病,诊断和鼻科分类.
主要方法:
- 临床病例的介绍.
- 心脏磁共振成像 (MRI) 用于心肌炎的评估.
- 多切片计算机断层扫描 (MSCT) 用于大动脉动脉瘤评估.
- 在炎症透物中对SARS-CoV-2病毒蛋白的形态确认.
- 对抗心脏抗体进行血清检测.
主要成果:
- 一个患者在COVID-19后一个月出现了自身免疫性心肌炎,严重的左心室功能障碍和大动脉动脉瘤.
- 皮质类固醇治疗实现了心肌炎的临床缓解,但大动脉动脉瘤进展,需要手术.
- 形态分析证实了与SARS-CoV-2相关的慢性免疫炎症,检测了炎症细胞和血管内皮中的病毒蛋白.
- 这种COVID后心肌炎和关节炎的组合代表了以前未被描述的临床实体.
结论:
- 随着COVID-19而出现心肌炎和关节炎的同时发生是一种罕见但显著的并发症.
- SARS-CoV-2 可以诱导慢性免疫炎症损伤心脏和大动脉.
- 需要进一步的研究,以了解病变发生,并为这些联合后COVID心血管并发症建立诊断和治疗指南.
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