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Dysrhythmias associated with COVID-19: Review and management considerations

Leen Alblaihed1, William J Brady2, Tareq Al-Salamah3

  • 1Department of Emergency Medicine, University of Maryland School of Medicine, 110 S Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, United States of America.

The American Journal of Emergency Medicine
|December 23, 2022
PubMed

Insights

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause dangerous cardiac arrhythmias in COVID-19 patients. Emergency physicians must understand these COVID-19 arrhythmias and their management strategies.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Internal Medicine

Background:

  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, leading to coronavirus disease 2019 (COVID-19), frequently impacts the cardiovascular system.
  • Cardiac complications arise from direct myocardial and conduction system damage, alongside systemic effects of the disease.

Purpose of the Study:

  • To review the pathophysiology of various arrhythmias associated with COVID-19.
  • To outline management considerations for these cardiac arrhythmias in COVID-19 patients.

Main Methods:

  • This narrative review synthesizes existing literature on COVID-19 and cardiac arrhythmias.
  • Key findings on pathophysiology and clinical management are discussed.

Main Results:

  • COVID-19 is associated with diverse cardiac manifestations, including acute coronary syndrome, ST-segment elevations, cardiomyopathy, and significant dysrhythmias.
  • Certain dysrhythmias pose a substantial risk to patients with COVID-19.

Conclusions:

  • Awareness of COVID-19-associated arrhythmias is crucial for emergency physicians.
  • Effective management strategies are essential for improving patient outcomes in COVID-19 cardiac emergencies.

Keywords:
Atrial fibrillationAtrioventricular blockBradycardiaCOVID-19DysrhythmiaProlonged QTcVentricular tachycardia

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