期刊
EUROPEAN JOURNAL OF HEART FAILURE
卷 22, 期 5, 页码 911-915出版社
WILEY
DOI: 10.1002/ejhf.1828
关键词
SARS-CoV-2; Coronavirus; Myocardial inflammation; Cardiac injury; Cardiogenic shock; Extracorporeal membrane oxygenation
资金
- Ministry of Health
We describe the first case of acute cardiac injury directly linked to myocardial localization of severe acute respiratory syndrome coronavirus (SARS-CoV-2) in a 69-year-old patient with flu-like symptoms rapidly degenerating into respiratory distress, hypotension, and cardiogenic shock. The patient was successfully treated with venous-arterial extracorporeal membrane oxygenation (ECMO) and mechanical ventilation. Cardiac function fully recovered in 5 days and ECMO was removed. Endomyocardial biopsy demonstrated low-grade myocardial inflammation and viral particles in the myocardium suggesting either a viraemic phase or, alternatively, infected macrophage migration from the lung.
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