CA LÂM SÀNG: TRÀN DỊCH MÀNG NGOÀI TIM Ở BỆNH NHÂN SAU MẮC COVID-19

Abstract

While treating for post-COVID-19 patients, we have recorded 3 cases of miner pericardial effusion, diagnosticed   by echocardiography - Doppler heart in patients after mild COVID-19 infection, treated at the home. These patients had been vaccinated full dose. 2 patients had no medical background, 1 patient had pre-existing hypertension, regularly treated. Clinical manifestations of the patient were dyspnea, shortness of breath, chest tightness, palpitations, 2 out of 3 patients had a slight increase in heart rate, of which 1 patient had extrasystoles. Clinical evidence showed that 1 patient had ventricular extrasystoles, all 3 patients did not have any other abnormalities on the electrocardiogram and chest X-ray. Blood tests results showed no abnormality in the number of white blood cells, platelets, and cardiac enzymes, but there was a slight increase in CRP in all 3 cases. Echocardiography results showed a small amount of pericardial fluid, 6 -10 mm, mainly concentrated in the anterior wall of the right ventricle and the apex of the heart. All 3 patients recovered with the usual symptomatic treatment regimen, which did not include Colchicine, NSAIDs or Corticosteroids.