门诊合并covid - 19合并心肌炎和心律失常综合征患者

Svetlana N. Lagutina, Olga S. Skuratova, Anna A. Zuikova, Elena Yu. Esina, Anastasia S. Kurguzova, Irina S. Dobrynina, Tatyana S. Pavlukova, Tatyana S. Klimova
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引用次数: 0

摘要

背景。感染SARS - CoV - 2病毒会导致影响主要疾病预后的并发症。超过40%的并发症与心血管系统疾病有关,其中大部分为节律和传导障碍,为避免这种情况,有必要在门诊-综合门诊阶段及时识别感染病例。临床病例描述:40岁患者,因冠状病毒感染后就诊,在门诊名单上。研究期间2021年3月至2023年1月。在分析该临床病例后,我们注意到以下错误:缺乏准确的全面诊断,针对疾病背景引入了KoviVak疫苗,实验室和仪器诊断不足,以及缺乏对血液动力学稳定的心肌炎患者推荐的药物。心肌炎是新冠肺炎最常见的并发症之一。结论:在接受门诊和综合门诊治疗的患者中,早期诊断本病存在诊断困难,后期难以及时开药纠正,影响患者的生活质量。值得注意的是,在治疗新型冠状病毒感染患者心血管并发症方面,不仅要向狭窄的专科医生,而且要向当地治疗师提供正确的处方建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PATIENT WITH COVID - 19 COMPLICATED MYOENDOCARDITIS AND ARRHYTHMIC SYNDROME AT THE OUTPATIENT STAGE
Background. Infection with the SARS - CoV - 2 virus entails the development of complications that affect the prognosis of the main disease. More than 40% of the complications are related to diseases of the cardiovascular system, most of which are disorders of rhythm and conduction, to avoid this it is necessary to identify cases of infection in time at the outpatient-polyclinic stage. Clinical case description: A 40-year-old patient who was on the outpatient list for complaints received after a coronavirus infection. Period of research March 2021-January 2023. Having analyzed this clinical case, we noted that the following errors were made: lack of accurate full diagnosis, introduction of the vaccine KoviVak against the background of the disease, insufficient laboratory and instrumental diagnostics, as well as the lack of medication recommended for patients with myocarditis with stable hemodynamics. Myocarditis is one of the most common complications of SARS-CoV-2. Conclusion: Early diagnosis of this disease in patients undergoing outpatient and polyclinic treatment presents a difficulty in making a diagnosis, which later makes it difficult to prescribe timely correction, which worsens the quality of life of the patient. It is worth noting the importance of properly prescribing recommendations related to the treatment of cardiovascular complications in patients with a new coronavirus infection not only to a narrow specialist, but also to the local therapist.
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来源期刊
CiteScore
1.30
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0.00%
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39
审稿时长
12 weeks
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