Arrhythmia occurring as the sole presenting feature in Covid-19

Area of Science:

• Cardiology
• Infectious Diseases
• Virology

Background:

• Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is linked to various cardiac complications.
• Cardiac arrhythmias are common in critically ill patients, often associated with myocarditis.

Observation:

• This report details two COVID-19 patients whose sole presenting symptom was serious cardiac arrhythmias.
• These arrhythmias occurred in the absence of other known COVID-19 manifestations.

Findings:

• COVID-19 can present with serious cardiac arrhythmias as the primary or only clinical feature.
• The underlying mechanism of SARS-CoV-2 affecting the cardiac conduction system requires further investigation.

Implications:

• Healthcare providers should consider COVID-19 in patients with unexplained acute-onset arrhythmias, even without typical symptoms.
• Careful patient management is crucial, considering the potential cardiac impact of SARS-CoV-2 infection.