关键词: ANA, antinuclear antibodies CVD, cardiovascular disease HDL-C, high-density lipoprotein cholesterol LDL-C, low-density lipoprotein cholesterol PVC, premature ventricular contraction SARS-CoV-2 SLE, systemic lupus erythematosus arrhythmia autoimmune disease long COVID pericarditis

来  源:   DOI:10.1016/j.jaccas.2022.09.014   PDF(Pubmed)

Abstract:
A 35-year-old woman with history of cardiovascular disease presented with shortness of breath, lightheadedness, fatigue, chest pain, and premature ventricular contractions 3 weeks after her second COVID-19 vaccine. Symptoms subsided following catheter ablation and ibuprofen except for chest pain and fatigue, which persisted following ablation and subsequent SARS-CoV-2 infection. The case suggests causal associations between COVID-19 vaccine/infection and recurrence of cardiovascular disease, including long-COVID-like symptoms. (Level of Difficulty: Advanced.).
摘要:
一名有心血管疾病史的35岁女性出现呼吸急促,头昏眼花,疲劳,胸痛,在她第二次接种COVID-19疫苗3周后出现室性早搏。除胸痛和疲劳外,导管消融和布洛芬后症状消退,在消融和随后的SARS-CoV-2感染后持续存在。该病例提示COVID-19疫苗/感染与心血管疾病复发之间存在因果关系,包括长型COVID样症状。(难度等级:高级。).
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