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Arrhythmias in COVID-19
Summit Pandat1, Zhihao Zhu2, Stephanie Fuentes-Rojas1
1Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas, US.
Insights
The coronavirus pandemic causes cardiovascular issues, including arrhythmias like sinus bradycardia and atrial fibrillation. Long-term complications such as POTS and inappropriate sinus tachycardia can also occur post-infection.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- The coronavirus pandemic presents a significant global health challenge with diverse systemic effects.
- Cardiovascular manifestations, particularly arrhythmias, are a key concern requiring further investigation.
Purpose of the Study:
- To review current data on the incidence and outcomes of arrhythmias during acute and convalescent phases of coronavirus disease.
- To explore potential pathophysiologic mechanisms and medical management strategies for these arrhythmias.
Main Methods:
- Review of observational studies and cohort data.
- Synthesis of current literature on coronavirus-associated cardiovascular complications.
Main Results:
- Sinus bradycardia is an unexpected inflammatory response during the acute phase.
- Atrial fibrillation is the most common pathological arrhythmia and a marker of poor prognosis.
- Long-term complications include postural orthostatic tachycardia syndrome and inappropriate sinus tachycardia.
Conclusions:
- Coronavirus disease significantly impacts cardiovascular health, leading to various arrhythmias.
- Understanding these arrhythmias is crucial for patient management and improving outcomes.
Abstract:
The coronavirus pandemic remains a major public health burden with multisystem disease manifestations. There has been an ongoing global effort to better understand the unique cardiovascular manifestations of this disease and its associated arrhythmias. In this review, we summarize the current data on incidence and outcomes of arrhythmias in the acute and convalescent period, possible pathophysiologic mechanisms, and medical management. Sinus bradycardia-reported in multiple observational studies in the acute infectious period-stands out as an unexpected inflammatory response. Atrial fibrillation has been noted as the most common pathologic arrhythmia and has been shown to be a poor prognostic marker in multiple cohorts. In the convalescent period, long-term complications such as postural orthostatic tachycardia syndrome and inappropriate sinus tachycardia have been described.
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