RESUMO
The Covid-19 pandemia has many other undesirable consequences apart of virus infection. Less people is hospitalized due to acute coronary syndrome and the delay to seek medical attention has increased. Patients with ST segment elevation myocardial infarction arrive at the hospital too late to be timely treated and we have recently seen mechanical complications that were more frequent in the past decades before the use of reperfusion strategies. In this report we describe the presentation, evolution and detailed imaging evaluation of two patients with unusual presentations of cardiac rupture: left ventricular pseudoaneurysm and left ventricular intramyocardial dissecting hematoma.
Assuntos
COVID-19/epidemiologia , Ecocardiografia/métodos , Ruptura Cardíaca Pós-Infarto/etiologia , Ventrículos do Coração/diagnóstico por imagem , Pandemias , Infarto do Miocárdio com Supradesnível do Segmento ST/epidemiologia , Idoso , Comorbidade , Feminino , Ruptura Cardíaca Pós-Infarto/diagnóstico , Ruptura Cardíaca Pós-Infarto/epidemiologia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Serial foetal echocardiography showed the development of severe left ventricular systolic dysfunction and thrombosis in a previously healthy foetus. Normal cardiac findings in a mid-trimester foetus do not exclude subsequent dilated cardiomyopathy.