Cardiac arrhythmias in patients with COVID‐19

Wang, Yueying; Wang, Zhaojia; Tse, Gary; Zhang, Lin; Wan, Elaine; Guo, Yutao; Lip, Gregory Y.H.; Li, Guangping; Lu, Zhibing; Liu, Tong

doi:10.1002/joa3.12405

Cited by 80 publications

(95 citation statements)

References 94 publications

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“…Cardiac arrhythmias, of both atrial and ventricular origin, are a common complication in SARS-CoV-2 infection [ 60 , 61 ].…”

Section: Arrhythmias and Sudden Cardiac Arrest: Role Of Advanced Imagmentioning

confidence: 99%

“…In the report by Colon et al, 19 out of 119 (16.5%) patients, all admitted in ICU, developed new-onset atrial arrhythmias, including atrial fibrillation (63%), atrial flutter (32%) and atrial tachycardia (5%) [ 62 ]. Atrioventricular/ventricular block and QT prolongation have been reported in association with SARS-CoV-2 infection, with incidence of 11.8% and 13% respectively [ 60 ]. Malignant arrhythmias, as ventricular tachycardia and fibrillation, have been described as well since early reports from China, especially in patients with elevated TnT levels [ 4 ].…”

Section: Arrhythmias and Sudden Cardiac Arrest: Role Of Advanced Imagmentioning

confidence: 99%

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Role of advanced imaging in COVID-19 cardiovascular complications

et al. 2021

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Clinical manifestations of COVID-19 patients are dominated by respiratory symptoms, but cardiac complications are commonly observed and associated with increased morbidity and mortality. Underlying pathological mechanisms of cardiac injury are still not entirely elucidated, likely depending on a combination of direct viral damage with an uncontrolled immune activation. Cardiac involvement in these patients ranges from a subtle myocardial injury to cardiogenic shock. Advanced cardiac imaging plays a key role in discriminating the broad spectrum of differential diagnoses. Present article aims to review the value of advanced multimodality imaging in patients with suspected SARS-CoV-2-related cardiovascular involvement and its essential role in risk stratification and tailored treatment strategies. Based on our experience, we also sought to suggest possible diagnostic algorithms for the rationale utilization of advanced imaging tools, such as cardiac CT and CMR, avoiding unnecessary examinations and diagnostic delays.

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“…Cardiac arrhythmias, of both atrial and ventricular origin, are a common complication in SARS-CoV-2 infection [ 60 , 61 ].…”

Section: Arrhythmias and Sudden Cardiac Arrest: Role Of Advanced Imagmentioning

confidence: 99%

Section: Arrhythmias and Sudden Cardiac Arrest: Role Of Advanced Imagmentioning

confidence: 99%

Role of advanced imaging in COVID-19 cardiovascular complications

et al. 2021

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“…Arrhythmogenesis appears to be a feature of coronaviruses as these have been reported in SARS and MERS patients. The different forms of dysarrhythmias in coronaviruses infections include branch block, atrial fibrillation, premature beats, QT interval elongation, and even sudden cardiac death ( 34 ). In hospitalized Covid-19 patients, cardiac arrhythmias were noted in 16.7% of patients in a Chinese cohort especially in those in ICU ( 6 ).…”

Section: Reasons To Mitigate the Risk Of Covid-19 Deaths In Cvd Patiementioning

confidence: 99%

Mitigating the Risk of COVID-19 Deaths in Cardiovascular Disease Patients in Africa Resource Poor Communities

Okpara

Oghagbon

2021

Front. Cardiovasc. Med.

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The novel coronavirus disease 2019 (Covid-19) pandemic has affected millions of patients in almost all countries with over one million cases recorded in Africa where it is a major health challenge. Covid-19 is known to have significant implications for those with pre-existing cardiovascular disease (CVD) and their cardiologists. Patients with pre-existing CVD are at increased risk of morbidity and mortality from Covid-19 due to associated direct and indirect life threatening cardiovascular (CV) complications. Mitigating the risk of such Covid-19 deaths in resource poor communities requires the institution of preventive measures at the primary, secondary and tertiary levels of preventive phenomenon with emphasis at the first two levels. General preventive measures, screening and monitoring of CVD patients for complications and modification of drug treatment and other treatment methods will need to be implemented. Health policy makers and manager should provide required training and retraining of CV health care workers managing Covid-19 patients with CVD, provision of health education, personal protective equipment (PPE), and diagnostic kits.

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“…Cardiac injury and ECG disturbances are not uncommon in COVID‐19 pneumonia and may lead to adverse short‐term outcomes. Cardiac complications such as QTc (QT corrected) interval prolongation, ventricular arrhythmia, or even sudden cardiac death are reported in patients with COVID‐19 4,5 …”

Section: Introductionmentioning

confidence: 99%

ECG markers of malignant arrhythmias and in‐hospital outcome of COVID‐19 pneumonia

Shaghee¹,

Nafakhi

Alareedh

et al. 2021

Journal of Arrhythmia

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Background ECG abnormalities associated with COVID‐19 pneumonia and adverse outcome are undefined and poorly described in prior studies. Objectives To assess the predictive role of baseline ECG markers of increased risk of malignant arrhythmias and cardiac death for adverse in‐hospital outcomes. Patients and methods A retrospective study included 93 patients of newly diagnosed COVID‐19 with features consistent with pneumonia who were admitted to the hospital from August 20 to September 20, 2020. The main outcomes were defined as receiving mechanical ventilation, in‐hospital cardiac arrest, length of ICU stay, and degree of lung damage according to computed tomography (CT) score. Results Increased QTc (QT corrected) interval, Tp‐e (T from peak to end) interval, and transmural dispersion of repolarization (TDR) were independent predictors of prolonged ICU stay ( P < .0001) after adjustment for baseline clinical characteristics. Increasing age ( P < .0001) followed by increased QTc interval ( P = .02) and history of chronic lung disease ( P = .04) were independent predictors of extensive lung damage. The independent predictors for in‐hospital cardiac arrest were increased QTc ( P = .02) followed by increasing age ( P = .04) and increased Tp‐e interval ( P = .04). Conclusion Repolarization abnormalities on baseline ECG may be useful prognostic markers in patients with COVID‐19 pneumonia.

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Cardiac arrhythmias in patients with COVID‐19

Cited by 80 publications

References 94 publications

Role of advanced imaging in COVID-19 cardiovascular complications

Role of advanced imaging in COVID-19 cardiovascular complications

Mitigating the Risk of COVID-19 Deaths in Cardiovascular Disease Patients in Africa Resource Poor Communities

ECG markers of malignant arrhythmias and in‐hospital outcome of COVID‐19 pneumonia

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