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Heart rate variability follow-up during COVID-19 -a case report
Alejandro Figar Gutiérrez1, Francisco C Bonofiglio1, John George Karippacheril2
1Department of Surgery, Anesthesiology Service, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
Korean Journal of Anesthesiology
|October 22, 2021
Summary
Wearable devices reveal COVID-19 alters the autonomic nervous system. Heart rate variability shows reduced parasympathetic and increased sympathetic tone during infection.
Area of Science:
- Cardiology
- Pulmonology
- Infectious Diseases
Background:
- Early detection of inflammatory responses is crucial for managing disease progression.
- COVID-19 can exacerbate underlying conditions like asthma and hypertension.
Observation:
- A case study monitored a 52-year-old obese male with moderate asthma and hypertension during COVID-19 infection.
- A wearable device recorded heart rate variability (HRV), revealing significant autonomic nervous system changes.
- Parasympathetic tone decreased to 2 standard deviations below normal, while sympathetic tone increased to over 5 standard deviations.
Findings:
- COVID-19 is associated with altered autonomic nervous system modulation.
- Sympathetic nervous system tone is augmented during COVID-19 infection.
- Parasympathetic nervous system tone is reduced during COVID-19 infection.
Implications:
- These findings suggest potential biomarkers for COVID-19 severity using HRV.
- Further research on population norms and 24-hour HRV measurements in COVID-19 is warranted.
- Understanding autonomic dysfunction may inform therapeutic strategies for COVID-19 patients.
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