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. 2020 Aug;43(8):891-893.
doi: 10.1111/pace.13987. Epub 2020 Jul 3.

Low prevalence of arrhythmias in clinically stable COVID-19 patients

Affiliations

Low prevalence of arrhythmias in clinically stable COVID-19 patients

Simone Sala et al. Pacing Clin Electrophysiol. 2020 Aug.

Abstract

Background: No studies investigated the prevalence of arrhythmias among clinically-stable patients affected by COVID-19 infection.

Methods: We assessed prevalence, type, and burden of arrhythmias, by a single-day snapshot in seven non-intensive COVID Units at a third-level center.

Results: We enrolled 132 inhospital patients (mean age 65±14y; 66% males) newly diagnosed with COVID-19 infection. Arrhythmic episodes were detected in 12 patients (9%). In detail, 8 had atrial fibrillation, and 4 self-limiting supraventricular tachyarrhythmias. There were no cases of ventricular arrhythmias or new-onset atrioventricular blocks. In addition, we report no patients with QTc interval >450 ms.

Conclusions: Our single-day snapshot survey suggests that the prevalence of arrhythmias among clinically stable COVID-19 patients is low. In particular, no life-threatening arrhythmic events occurred.

Keywords: COVID-19; SARS-CoV-2; arrhythmias; atrial fibrillation; coronavirus.

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Conflict of interest statement

The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.

References

    1. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus‐infected pneumonia in Wuhan, China. JAMA. 2020;323:1061‐1069. - PMC - PubMed
    1. Lakkireddy DR, Chung MK, Gopinathannair R, et al. Guidance for cardiac electrophysiology during the coronavirus (covid‐19) pandemic from the Heart Rhythm Society Covid‐19 Task Force; Electrophysiology Section of the American College of Cardiology; and the Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, American Heart Association. Circulation. 2020;141:e823‐e831. - PMC - PubMed
    1. Duarte PAD, Leichtweis GE, Andriolo L, et al. Factors associated with the incidence and severity of new‐onset atrial fibrillation in adult critically Ill patients. Crit Care Res Pract. 2017; 2017: 8046240. - PMC - PubMed
    1. Sala S, Peretto G, Gramegna M, et al. Acute myocarditis presenting as a reverse tako‐tsubo syndrome in a patient with SARS‐CoV‐2 respiratory infection. Eur Heart J. 2020;41:1861‐1862. - PMC - PubMed
    1. Giudicessi JR, Noseworthy PA, Friedman PA, Ackerman MJ. Urgent guidance for navigating and circumventing the QTc‐prolonging and torsadogenic potential of possible pharmacotherapies for coronavirus disease 19 (COVID‐19). Mayo Clin Proc. 2020;95:1213‐1221. - PMC - PubMed