1例年轻患者感染COVID - 19后感染后急性心肌梗死

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Cor et vasa Pub Date : 2023-03-01 DOI:10.33678/cor.2022.064

R. Caminiti, G. Vetta, A. Parlavecchio, M. Magnocavallo, S. Postorino, S. Carerj, F. Benedetto

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引用次数: 0

摘要

现在众所周知，COVID-19还可引起各种肺外表现。心血管损伤的可能机制包括全身性炎症引起的高凝性直接心肌损伤，这也可能导致冠状动脉斑块的不稳定。我们报告了一例无症状COVID-19感染后的30岁年轻男性，他因典型的胸痛被意大利雷焦卡拉布里亚大Ospedale Metropolitano di Reggio Calabria的急诊室收治。患者无心血管疾病，心血管危险因素包括无心血管疾病家族史。紧急冠状动脉造影显示左前降支中近端严重狭窄(80%)伴溃疡斑块外观。无论心血管危险因素如何，我们的病例报告强调有必要在本次大流行期间确定所有急性心肌梗死患者的COVID-19状态。版权所有©2023。

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Post‑infectious acute myocardial infarction following COVID‑19 infection in a young patient

It is now widely known that COVID-19 can also cause various extrapulmonary manifestations. Possible mechanisms of cardiovascular damage include direct myocardial damage due to hypercoagulability caused by systemic inflammation, which may also lead to destabilisation of coronary plaques. We present a case of a 30-year-old young man following asymptomatic COVID-19 infection, who was admitted to the emergency room of the Grande Ospedale Metropolitano di Reggio Calabria, Italy, with typical chest pain. The patient had no cardiovascular disease, cardiovascular risk factors including no family history of cardiovascular disease. Urgent coronary angiography showed critical stenosis of the middle-proximal portion of the left anterior descending artery (80%) with ulcerated plaque appearance. Regardless of cardiovascular risk factors, our case report emphasises the need to determine COVID-19 status in all patients with acute myocardial infarction during this pandemic.Copyright © 2023, CKS.

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