Perspective
Volume 8 Issue 4 - 2021
Arrhythmias in COVID-19 Patients
Giampiero Conte and Massimo R Mannarino*
Unit of Internal Medicine, Angiology and Arteriosclerosis Diseases, Department of Medicine and Surgery, University of Perugia, Perugia, Ita
*Corresponding Author: Massimo R Mannarino, Unit of Internal Medicine, Angiology and Arteriosclerosis Diseases, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Received: February 25, 2021; Published: March 12, 2021




Coronavirus disease-2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), is disrupting everyone’s life and putting a huge strain on health services around the world. The spectrum of symptoms of SARS-Cov-2 infection may vary from asymptomatic to severe disease, with a very high mortality [1-3]. Although pneumonia and respiratory illness are by far the most important clinical manifestations of COVID-19, it has been observed that, among other comorbidities, cardiovascular diseases increase the risk of severe illness and mortality [4]. Also, acute COVID-19 cardiovascular syndrome, characterized by a variety of clinical presentations such as ventricular and supraventricular arrhythmias, cardiomyopathy, and hemodynamic instability has been described [5]. Among cardiovascular manifestations reported in patients with COVID-19, cardiac rhythm disturbances are frequent. In a study of 137 patients from Hubei province, China, palpitation as one of the initial symptoms was observed in 10 subjects (7.3%) [6]. In a study, including 138 patients admitted to hospital for SARS-Cov-2-related pneumonia, arrhythmias were reported in 17% of the general cohort; in patients admitted to an intensive care unit this percentage raised to 44% [7], suggesting that cardiac arrhythmias may be more common in critically ill COVID-19 patients.

References

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  2. Wu Z and McGoogan JM. “Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases from the Chinese Center for Disease Control and Prevention”. The Journal of the American Medical Association13 (2020): 1239-1242.
  3. Petrilli CM., et al. “Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: prospective cohort study”. British Medical Journal (2020).
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  7. Wang D., et al. “Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China”. The Journal of the American Medical Association 11 (2020): 1061.
  8. He J., et al. “Characteristic ECG manifestations in patients with COVID-19”. The Canadian Journal of Cardiology (2020).
  9. Hilaryano Ferreira., et al. “Tachyarrhythmias in COVID19 Patients: A Systematic Review and Meta-Analysis”. EC Cardiology3 (2021): 14-21.
  10. Bhatla A., et al. “COVID-19 and cardiac arrhythmias”. Heart Rhythm (2020).
  11. Xiong T-Y., et al. “Coronaviruses and the cardiovascular system: acute and long-term implications”. European Heart Journal 41 (2020): 1798-1800.
  12. Manolis AS., et al. “COVID-19 infection and cardiac arrhythmias”. Trends in Cardiovascular Medicine 8 (2020): 451-460.
Citation: Giampiero Conte and Massimo R Mannarino. “Arrhythmias in COVID-19 Patients”. EC Gynaecology 8.4 (2021): 01-02.

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