Multiple Arrhythmias in COVID-19 Patients: a Case Series
Annals of Cardiology CASE REPORT Multiple Arrhythmias in COVID-19 Patients: A Case Series Savalan Babapoor-Farrokhran1*, Zachary Port1, Deanna Gill2, Zaid Ammari1, Sumeet Mainigi1,2, and Aman Amanullah1,2 1Division of Cardiology, Department of Medicine, Einstein Medical Center, Philadelphia, USA 2Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, USA. Abstract Extra-pulmonary manifestations of severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] infection such as cardiovascular complications have been reported and previous case reports have documented evidence of myocardial damage. Currently, very few case reports of the arrhythmias associated with Coronavirus Disease 2019 [COVID-19] exist. In this case series, we demonstrate two cases of critically ill COVID-19 patients with cardiac rhythm abnormalities that might be a direct or indirect consequence of this infection. Each of the patients experienced a variety of cardiac rhythm abnormalities. None of the patients had any record of cardiac rhythm abnormalities prior to admission. The unique point of these cases is the multiple dysrhythmias in the same patients that have not been reported previously. We demonstrated that critically ill COVID-19 patients develop different arrhythmias Open Access ranging from sinus tachycardia, bradycardia, atrial fibrillation, supraventricular tachycardia, and non-sustained ventricular tachycardia. Non-sustained Citation: Babapoor-Farrokhran S, Port Z, Gill D, Ammari Z, Mainigi S, monomorphic ventricular tachycardia was the most common arrhythmia in the two Amanullah A. Multiple Arrhythmias in cases despite normalization of electrolyte imbalances and avoidance of QTc COVID-19 Patients: A Case Series. Annals of Cardiology. 2020; 1(1):2. prolonging agents. Received: June 26, 2020 Accepted: September 30, 2020 Keywords Published: October 20, 2020 COVID-19, ventricular tachycardia, myocardial injury, intermittent bradycardia, cardiac arrhythmia, atrial fibrillation.
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