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Case Reports
. 2023 Oct 1;23(5):E114-E119.
doi: 10.1097/ANC.0000000000001094. Epub 2023 Jul 10.

Supraventricular Tachycardia in the Setting of Neonatal COVID-19 Infection: A Case Report

Theoni Karamantziani  1 , Loukia Lianou, Dimitra Zampouni, Vasiliki Koustouki, Niki Lipsou, Helen Bouza
Affiliations
Case Reports

Supraventricular Tachycardia in the Setting of Neonatal COVID-19 Infection: A Case Report

Theoni Karamantziani et al. Adv Neonatal Care. .

Abstract

Background: COVID-19 infection, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), may present with a wide range of clinical presentations and a variety of symptoms in neonates. The cardiovascular manifestations that have been described in the setting of COVID-19 infection in neonates are tachycardia and hypotension, but information regarding cardiac arrhythmias is scarce, while the effect of SARS-CoV-2 on myocardial function is still not well established.

Clinical findings: We present a case of a neonate admitted with fever and nasal congestion.

Primary diagnosis: The neonate was tested positive for SARS-CoV-2. Supraventricular tachycardia (SVT) was diagnosed during his hospitalization in the neonatal intensive care unit.

Interventions: The neonate was under treatment with intravenous fluid repletion, intravenous broad-spectrum antibiotics, and continuous hemodynamic monitoring. SVT resolved spontaneously, while the team was preparing application of further supportive measures with a bag of ice on the infant's face.

Outcomes: The neonate was discharged in good condition on day 14 post-admission, with no further recurrence of SVT. Follow-up visits were scheduled with the cardiologist.

Practice recommendations: SVT in full-term or premature neonates can be a clinical manifestation of COVID-19 infection. Both neonatologists and neonatal nurse practitioners should be prepared to deal with cardiological manifestations of COVID-19 infection in neonates.

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Conflict of interest statement

The authors declare no conflicts of interest.

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