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. 2023 Sep;66(6):1321-1322.
doi: 10.1007/s10840-023-01548-2. Epub 2023 Apr 26.

Transient left bundle branch block associated with favipiravir treatment for coronavirus infection

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Transient left bundle branch block associated with favipiravir treatment for coronavirus infection

Siralp Bostan et al. J Interv Card Electrophysiol. 2023 Sep.

Abstract

The coronavirus disease 2019 (COVID-19) may lead to a wide spectrum of clinical manifestations ranging from asymptomatic to symptomatic by having targets on various tissues such as lung parenchyma and myocardium (Shahrbaf et al., Cardiovasc Hematol Disord Drug Targets. 21(2):88-90, 2021). As an RNA-dependent RNApolymerase inhibitor, favipiravir has been proposed as a treatment in clinical studies done during the pandemic period (Furuta et al., Antiviral Res. 100(2):446-454, 2013). Although favipiravir is generally a safe medication, it may rarely cause cardiac adverse effects (Shahrbaf et al., Cardiovasc Hematol Disord Drug Targets. 21(2):88-90, 2021). To the best of our knowledge, favipiravir has not been reported to cause left bundle branch block (LBBB).

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Fig. 1
Fig. 1
A Admission ECG showing normal sinus rhythm and QRS complexes. B Remarkable presentation on ECG with transient LBBB

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References

    1. Shahrbaf MA, Tabary M, Khaheshi I. Cardiovascular considerations of remdesivir and favipiravir in the treatment of COVID-19. Cardiovasc Hematol Disord Drug Targets. 2021;21(2):88–90. doi: 10.2174/1871529X21666210812103535. - DOI - PubMed
    1. Furuta Y, Gowen BB, Takahashi K, Shiraki K, Smee DF, Barnard DL. Favipiravir (T-705), a novel viral RNA polymerase inhibitor. Antiviral Res. 2013;100(2):446–454. doi: 10.1016/j.antiviral.2013.09.015. - DOI - PMC - PubMed
    1. Chinello P, Petrosillo N, Pittalis S, Biava G, Ippolito G, Nicastri E. QTc interval prolongation during favipiravir therapy in an Ebolavirus-infected patient. PLoS Negl Trop Dis. 2017;11(12):e0006034. doi: 10.1371/journal.pntd.0006034. - DOI - PMC - PubMed
    1. Habib MB, Elshafei M, Rahhal A, Mohamed MFH. Severe sinus bradycardia associated with favipiravir in a COVID-19 patient. Clin Case Rep. 2021;9(8):e04566. doi: 10.1002/ccr3.4566. - DOI - PMC - PubMed