由于COVID-19引起的左心室附属体血栓
Steven Douedi1, Mihir Odak1, Ashraf Sliem2
1Cardiology, Deborah Heart and Lung Center, Browns Mills, USA.
Cureus
|November 26, 2025
概括
本案例研究讨论了一名患有心房动和出血的患者,他在感染COVID-19后发展出左心房附属体血栓. 它强调了感染,心律失常和出血的复杂风险,用于管理血栓栓塞事件.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
背景情况:
- 左心房附属体 (LAA) 血栓形成是心房动 (AF) 患者的严重并发症.
- 冠状病毒疾病2019 (COVID-19) 与高凝血状态有关,增加了血栓形成的风险.
- 患有AF和出血史的患者面临复杂的管理挑战.
研究的目的:
- 在患有AF,最近出血和偶发的COVID-19感染的患者中描述LAA血栓的病例.
- 为了突出感染,心律失常和出血风险之间的复杂关系.
- 强调在高风险人群中及时识别和管理血栓栓塞风险.
主要方法:
- 一个持续性AF患者的病例报告,患有胃肠道和内出血.
- 偶然诊断COVID-19感染的情况.
- 诊断成像显示一个大LAA血栓.
主要成果:
- 患者呈现出大 LAA 血栓,尽管有出血史.
- 确定了同时发生的COVID-19感染,这表明有助于高凝血能力.
- 该案例说明了一个具有挑战性的临床场景,涉及多种风险因素.
结论:
- 在AF患者中,COVID-19可能会加剧LAA血栓形成,即使是那些有出血并发症的人.
- 仔细评估和管理血栓栓塞和出血风险至关重要.
- 这一案例强调了在高风险患者群体中需要保持警.
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