Cardiac Arrhythmias in Patients with COVID-19
Mauricio Pimentel1, Ana Paula Arbo Magalhães1, Camila Valvassori Novak1
1Hospital de Clinicas de Porto Alegre, Porto Alegre, RS - Brasil.
Arquivos Brasileiros De Cardiologia
|September 22, 2021
Summary
COVID-19 patients hospitalized with arrhythmias had higher mortality. Heart failure increased arrhythmia risk, and cardiac arrest during hospitalization resulted in death.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19) is linked to cardiovascular issues, including arrhythmias.
- Understanding these cardiac complications is crucial for patient management.
Purpose of the Study:
- To determine the incidence of cardiac arrhythmias and cardiac arrest (CA) in hospitalized COVID-19 patients.
- To identify risk factors and outcomes associated with these cardiac events.
Main Methods:
- Retrospective analysis of electronic medical records from a tertiary university-affiliated hospital.
- Inclusion of 241 consecutive COVID-19 patients.
Main Results:
- Cardiac arrhythmias occurred in 8.7% of patients, primarily atrial tachyarrhythmia.
- Patients with arrhythmias had significantly higher mortality (52.4% vs. 24.1%).
- Heart failure (HF) was the only independent predictor of arrhythmias (HR, 11.9).
- Cardiac arrest (CA) occurred in 3.3% of patients, all of whom died.
Conclusions:
- The incidence of cardiac arrhythmias in hospitalized COVID-19 patients was 8.7%, with atrial tachyarrhythmia being most frequent.
- Heart failure is a significant risk factor for developing arrhythmias in COVID-19 patients.
- Cardiac arrest in COVID-19 patients carries a very high mortality rate.
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