类固醇治疗对COVID - 19患者心室颤动风暴的响应:1例报告

Dilip Kumar , Amit Malviya , Amitabha Saha , RanaRathor Roy , ShakeelAhamad Khan , Animesh Mishra , Rabin Chakraborty
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引用次数: 2

摘要

心律失常在COVID -19患者中很常见,并经常使危重患者的临床过程复杂化。危及生命的心律失常包括心室颤动不常见,但据报道在心肌肌钙蛋白升高的患者中更常见。COVID - 19患者心律失常的机制是多因素的,可由直接心脏受累、系统性影响或药物相互作用引起。成功的管理需要正确识别原因。我们报告了一例对类固醇治疗有反应的COVID - 19患者的VF风暴。在适当情况下,控制暴发性炎症可减轻心律失常的负担。
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Ventricular fibrillation storm in COVID 19 responding to steroid therapy: A case report

Cardiac arrhythmias are common in patients of COVID -19 and frequently complicate the clinical course of critically ill patients. Life threatening arrhythmia including ventricular fibrillation less common but are reported to be more common in patients with elevated cardiac troponins. The mechanisms of arrhythmia in COVID 19 are multifactorial and arise from either direct cardiac involvement, from consequences systemic affection or drug interactions. The successful management requires correct identification of the cause. We report a case of VF storm in a patient with COVID 19 who responded to steroid therapy. Controlling the fulminant inflammation may reduce the burden of arrhythmia in appropriate cases.

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