Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Sep-Oct:62:100-102.
doi: 10.1016/j.jelectrocard.2020.07.007. Epub 2020 Jul 21.

Electrocardiographic signs of acute right ventricular hypertrophy in patients with COVID-19 pneumonia: A clinical case series

Virgilio Martínez-Mateo  1 , Manuel José Fernández-Anguita  2 , Antonio Paule  2
Affiliations
Case Reports

Electrocardiographic signs of acute right ventricular hypertrophy in patients with COVID-19 pneumonia: A clinical case series

Virgilio Martínez-Mateo et al. J Electrocardiol. 2020 Sep-Oct.

Abstract

This paper reports 6 cases of patients affected by coronavirus disease 2019 bilateral pneumonia with associated acute respiratory distress associated and signs of acute right ventricular hypertrophy on electrocardiography despite the absence of acute pulmonary embolism or signs of severe pulmonary hypertension on transthoracic echocardiography. These cases suggest a possible connection between acute elevated right ventricular afterload and acute respiratory distress in patients affected by SARS-CoV-2.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Example of typical electrocardiogram reported in our patients during hospitalization (A) and one month after discharge (B) showing sinus tachycardia, incomplete right bundle branch block and SIQIII pattern.
See this image and copyright information in PMC

References

    1. Huang C., Wang Y., Li X. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497. - PMC - PubMed
    1. Wu C., Chen X., Cai Y., Xia J., Zhou X., Xu S. Risk factors associated with acute respiratory distress syndrome and death in patients with coronavirus disease 2019 pneumonia in Wuhan, China. JAMA Intern Med. 2020 Mar 13 doi: 10.1001/jamainternmed.2020.0994. [Epub ahead of print] - DOI - PMC - PubMed
    1. Repessé X., Charron C., Viellard-Baron A. Right ventricular failure in acute lung injury and acute respiratory distress syndrome. Minerva Anestesiol. 2012;78:941–948. - PubMed
    1. Whitman I., Patel V., Soliman E., Bluemke D., Praestgaard A., Jain A. Validity of the surface electrocardiogram criteria for right ventricular hypertrophy: the MESA - right ventricle study. J Am Coll Cardiol. 2014;63:672–681. - PMC - PubMed
    1. Haddad F., Hunt S.A., Rosenthal D.N., Murphy D.J. Right ventricular function in cardiovascular disease, part I. Circulation. 2008;117:1436–1448. - PubMed

Publication types