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Published on: July 5, 2021
Arrhythmogenesis and COVID-19
John N Varkey1, William H Frishman2
1From the Department of Medicine, Stony Brook University, Stony Brook, NY.
Insights
The COVID-19 pandemic has caused significant cardiac issues, including arrhythmias. This review explores the link between coronavirus disease 2019 and heart rhythm disorders, examining potential arrhythmogenesis mechanisms.
Area of Science:
- Cardiology
- Infectious Diseases
- Molecular Biology
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, has led to widespread health issues globally.
- Cardiac complications, such as myocardial infarction, myocarditis, and arrhythmias, are recognized consequences of COVID-19 infection.
- Understanding the cardiac sequelae of COVID-19 is crucial for patient management.
Purpose of the Study:
- To review existing literature on the association between COVID-19 and cardiac arrhythmias.
- To explore potential pathophysiological mechanisms underlying COVID-19-related arrhythmogenesis.
Main Methods:
- Comprehensive literature search of scientific databases.
- Review and synthesis of studies investigating cardiac arrhythmias in COVID-19 patients.
- Analysis of proposed mechanisms for arrhythmia development in the context of SARS-CoV-2 infection.
Main Results:
- COVID-19 is frequently associated with various cardiac arrhythmias.
- Potential mechanisms include direct viral effects on cardiac cells, systemic inflammation, and immune responses.
- Hypoxia and electrolyte imbalances secondary to severe COVID-19 may also contribute.
Conclusions:
- COVID-19 poses a significant risk for developing cardiac arrhythmias.
- Further research is needed to fully elucidate the mechanisms of arrhythmogenesis in COVID-19.
- Understanding these mechanisms can inform clinical strategies for preventing and managing cardiac complications.
Abstract:
The ongoing coronavirus infection-2019 (COVID-19) global pandemic has had devastating impacts on the global population since 2019. Cardiac complications are a well-documented sequala of COVID-19, with exposed patients experiencing complications such as myocardial infarction, myocarditis, and arrythmias. This article aims to review prominent literature regarding COVID-19 and its link with arrhythmias, as well as to discuss some of the possible mechanisms by which arrhythmogenesis may occur in patients with COVID-19.
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