Management of Arrhythmias Associated with COVID-19
Amar D Desai1, Brian C Boursiquot1, Lea Melki1
1Division of Cardiology, Department of Medicine, Vagelos College of Physicians and Surgeons, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Insights
COVID-19 can cause persistent cardiac arrhythmias, including atrial fibrillation and ventricular tachycardia. Reviewing these arrhythmias and management strategies is crucial for ongoing patient care and recovery.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Cardiac arrhythmias are a recognized complication of COVID-19.
- These arrhythmias can persist post-infection, impacting long-term patient health.
Purpose of the Study:
- To review the range of cardiac arrhythmias associated with COVID-19.
- To examine current guidelines for assessing risk and managing these arrhythmias.
- To address the growing population of patients affected by COVID-19 related cardiac issues.
Main Methods:
- Literature review of cardiac arrhythmias in COVID-19 patients.
- Analysis of current clinical guidelines and management strategies.
- Assessment of risk-benefit profiles for medical and invasive therapies.
Main Results:
- Common arrhythmias include atrial fibrillation, supraventricular tachycardia, complete heart block, and ventricular tachycardia.
- Personalized care balancing therapy risks and benefits is essential.
- Thorough follow-up and precautions are necessary for COVID-19 patients with arrhythmias.
Conclusions:
- COVID-19 poses a significant risk for developing persistent cardiac arrhythmias.
- Individualized management plans are critical for optimizing patient outcomes.
- Continued vigilance and comprehensive care are vital for this patient population.
Purpose Of Review:
Cardiac arrhythmias are known complications in patients with COVID-19 infection that may persist even after recovery from infection. A review of the spectrum of cardiac arrhythmias due to COVID-19 infection and current guidelines and assessment or risk and benefit of management considerations is necessary as the population of patients infected and covering from COVID-19 continues to grow.
Recent Findings:
Cardiac arrhythmias such as atrial fibrillation, supraventricular tachycardia, complete heart block, and ventricular tachycardia occur in patients infected, recovering and recovered from COVID-19. Personalized care while balancing risk/benefit of medical or invasive therapy is necessary to improve care of patients with arrhythmias. Providers must provide thorough follow-up care and use necessary precaution while caring for COVID-19 patients.
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Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...