Epidemic legacy 3/The lady suffered a sudden myocardial infarction after being identified! Physician: Extra consideration needs to be paid to pulmonary embolism, “the mortality fee is greater than 50%” | CTWANT

The brand new coronavirus not solely impacts the respiratory system, but in addition assaults the guts and blood vessels. Due to this fact, the incidence of myocardial infarction and lung failure has elevated. after the epidemic. (Photograph/Newspaper picture)

54-year-old Ms. Jiang sought medical therapy as a result of long-term chest tightness and discomfort. A cardiac catheterization examination confirmed that the best coronary artery was utterly blocked, so she underwent surgical procedure to open a coronary stent. and submitted , Ms. Jiang developed fever and signs of higher respiratory tract an infection, and was discovered after speedy screening at house novel coronavirus illness, started taking antiviral medication.

Ms. Jiang didn’t take it critically at first, however a number of days later she developed signs reminiscent of chest tightness, chest ache, and chilly sweat after going to the emergency room for therapy, the electrocardiogram confirmed a myocardial infarction extreme, so the cardiology group was urgently organized for an interventional cardiac catheterization therapy, and at last recovered a affected person.

Wu Jingru, a heart specialist at Bei Metropolis United Hospital’s Zhongxiao Campus, mentioned that along with affecting the respiratory tract, the brand new coronavirus additionally impacts the guts and blood vessels. Due to this fact, an infection with the brand new coronavirus pneumonia may trigger myocarditis, blood clots resulting in myocardial infarction, pulmonary embolism, and stroke.

Xu Zhonghe, director of the Peripheral Vascular Division of the Cardiovascular Division of the China Medical College Hospital, mentioned that whether or not sufferers are vaccinated in opposition to COVID-19 or endure from COVID-19, the chance of pulmonary embolism is way greater than the chance of stroke and myocardial. Infarction.

Xu Zhonghe mentioned that pulmonary embolism is the third highest reason for loss of life from cardiovascular illnesses after myocardial infarction and stroke. “A extreme pulmonary embolism implies that a blood clot blocks the blood vessels that transfer blood to the lungs. After the pulmonary artery is blocked by a blood clot, it’s troublesome for the blood to stream easily from the guts into the lungs. This causes a systemic drop in blood stress, hypoxia, and the mortality fee will exceed 50%, even greater than myocardial infarction.”

“Based on a analysis report by the American medical group, about 30% of pulmonary embolism sufferers died as a result of they weren’t correctly identified or untreated, together with the aged, long-term mattress relaxation, long-term use of feminine hormones, weight problems, smoking, most cancers, cardiopulmonary illness or coronary heart illness Individuals with kidney illness are all at excessive threat for pulmonary embolism.

The Academia Sinica discovered that the brand new coronavirus can activate platelets, thus stimulating extreme neutrophilic transient community buildings, thus inflicting extreme thrombosis. (Photograph/Newspaper picture)

The analysis group of Xie Shiliang, a distinguished researcher on the Academia Sinica Genome Analysis Heart, revealed a analysis report and located that the receptors CLEC5A and TLR2 are the principle mechanism of pulmonary embolism attributable to the brand new coronavirus within the Journal of Biomedical Science .

Xie Shiliang discovered that the brand new coronavirus can activate platelets to extend the inflammatory response, thereby producing thrombi, mentioned Track Peishan, a postdoctoral researcher on the Genome Analysis Heart at Academia Sinica, who the primary creator of this examine, when he was gathering blood samples from. sufferers within the extreme part of the brand new coronavirus, it was discovered that after platelets are activated, a lot of neutrophil extracellular seize (NETs) and suicidal cell loss of life (NETosis) are produced.

Track Peishan mentioned that many current research have proven that extreme neutrophilic extracellular reticular buildings in sufferers may cause immune thrombosis and even extreme intravascular embolism. Obstruction of those pulmonary microvessels results in hypoxia within the lungs and organs. others, thereby inflicting systemic harm.

Wu Jingru reminded that sufferers contaminated with the brand new coronavirus ought to pay extra consideration to bodily warning indicators In the event that they really feel chest tightness, chest ache, chilly sweat, issue respiratory and different discomforts, they need to go to the cardiology clinic or emergency division as quickly as potential. capable of assess whether or not cardiac catheterization or extra therapy needs to be carried out to keep away from subsequent issues.