背景:由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的2019冠状病毒病(COVID-19)主要影响肺部,但可累及任何器官。医学界正在努力应对与这种疾病相关的严重疾病。此外,COVID-19康复的患者在感染SARS-CoV-2期间和之后出现了各种器官血栓发作等并发症。covid -19相关的血栓前状态已在最近的多篇研究文章中提到。抗凝剂的作用是有争议的,因为即使在预防性使用抗凝剂后,许多患者也经历过血栓发作。因此,这种情况对医学界是一种挑战。病例报告我们报告一名无共病病史的65岁男性covid -19相关血栓前状态。起初,他表现为右侧虚弱,并被发现有急性缺血性中风。脑卒中后紧急显像显示左束支传导阻滞显著的心电图改变。患者心脏酶水平升高与无症状急性心肌梗死(MI)相关。 His echocardiogram revealed a left ventricular (LV) thrombus. He was managed with a multidisciplinary approach involving Neurology, Cardiology, and Medicine. CONCLUSIONS COVID-19-associated prothrombotic episodes involving arterial and venous systems have been reported in the literature. But concomitant stroke, acute MI, and LV thrombus rarely have been documented. The role of prophylactic or therapeutic anticoagulation is still unclear because even when patients are on these drugs, they continue to develop thrombotic episodes. Indeed, further studies are required to develop a standard management plan for what can be a fatal situation.

参考

PubMed