Presentation and outcome of myocardial infarction with non-obstructive coronary arteries in coronavirus disease 2019.

Kevin John, Amos Lal, Nitish Sharma, Amr ElMeligy, Ajay K Mishra
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引用次数: 0

Abstract

Among the cardiac complications of coronavirus disease 2019 (COVID-19), one increasingly reported in the literature is myocardial infarction with non-obstructive coronaries (MINOCA). We reviewed all reported cases of MINOCA in COVID-19 patients to summarize its clinical features, evaluation, and treatment. We performed a literature search in Pubmed using the search terms 'COVID-19' and 'MINOCA' or 'non-obstructive coronaries'. Among the reported cases, the mean age was 61.5 years (SD ± 13.4), and 50% were men. Chest pain was the presenting symptom in five patients (62.5%), and hypertension was the most common comorbidity (62.5%). ST-elevation was seen in most patients (87.5%), and the overall mortality rate was 37.5%. MINOCA in COVID-19 is an entity with a broad differential diagnosis. Therefore, a uniform algorithm is needed in its evaluation to ensure timely diagnosis and management.

2019年冠状病毒病冠状动脉非阻塞性心肌梗死的表现和预后。
在冠状病毒病 2019(COVID-19)的心脏并发症中,文献中报道较多的一种是冠状动脉非阻塞性心肌梗死(MINOCA)。我们回顾了所有报道的 COVID-19 患者 MINOCA 病例,总结了其临床特征、评估和治疗方法。我们以 "COVID-19 "和 "MINOCA "或 "非阻塞性冠状动脉 "为检索词在 Pubmed 上进行了文献检索。在报告的病例中,平均年龄为 61.5 岁(SD ± 13.4),50% 为男性。胸痛是五名患者(62.5%)的主要症状,高血压是最常见的合并症(62.5%)。大多数患者(87.5%)出现 ST 段抬高,总死亡率为 37.5%。COVID-19中的MINOCA是一种具有广泛鉴别诊断的疾病。因此,需要对其进行统一的评估,以确保及时诊断和处理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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