Citas bibligráficas
Cancha, J., (2020). Injuria miocárdica en paciente joven con COVID-19. Reporte de caso [Tesis, Universidad Privada Antenor Orrego - UPAO]. https://hdl.handle.net/20.500.12759/6906
Cancha, J., Injuria miocárdica en paciente joven con COVID-19. Reporte de caso [Tesis]. PE: Universidad Privada Antenor Orrego - UPAO; 2020. https://hdl.handle.net/20.500.12759/6906
@misc{renati/378106,
title = "Injuria miocárdica en paciente joven con COVID-19. Reporte de caso",
author = "Cancha Osorio, Jeannet Stefania",
publisher = "Universidad Privada Antenor Orrego - UPAO",
year = "2020"
}
Objective: Report an infrequent clinical case of myocardial stress injury associated with COVID19 (coronavirus disease 2019) in a young adult patient. Materials and methods: The case of a 32-year-old male patient who tested positive for COVID-19 with upper respiratory and gastrointestinal symptoms in April 2020 is analyzed. Hospitalized for precordial pain plus mild dyspnea with a diagnosis of myocardial injury confirmed by an elevation of troponin I of 4.75 ng / ml(VN: <0.1ng/ml), 4 weeks after the onset of COVID-19 symptoms. Results: The chest tomography finding showed a ground glass attenuation focus in the left upper lobe. The electrocardiogram showed minimal elevation of the J point and ST segment of 0.05 mv and sinus tachycardia. Echocardiogram with preserved biventricular systodiastolic function. In addition, for detection and monitoring of coronavirus infection, RT-PCR (reverse transcription polymerase chain reaction test) was performed on a nasopharyngeal swab positive in April for COVID-19 and negative in May, which allowed the patient to return to work. The patient was treated with analgesic, oral corticosteroid, beta-blocker, subcutaneous anticoagulant, and ivermectin with clinical stabilization and favorable recovery. Discussion: Patients with COVID-19 who present with chest pain and positive troponins represent a great diagnostic challenge, myocardial injury caused by COVID19, infrequent in young patients, has a high rate of morbidity and mortality due to its non-specific clinical picture, so it is essential immediate detection and approach. Conclusion: The interaction between this COVID-19 infection and myocardial damage must be recognized, in order to detect cardiovascular complications due to COVID-19 in time, and expand efforts on the need for troponin surveillance, detection and treatment.
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