Transient T-wave oversensing as a result of COVID-19: a case report
Zeyad Khalil1, Dixon Ward2, Cristiana Ribiero2
1Postgraduate Doctor in Training.
Insights
Coronavirus disease 2019 (COVID-19) can cause myocarditis, affecting cardiac implanted electronic devices (CIEDs). Adjusting CIED settings prevented inappropriate discharges, suggesting COVID-19 can cause T-wave oversensing.
Area of Science:
- Cardiology
- Infectious Diseases
- Biomedical Engineering
Background:
- Myocarditis is an inflammation of the heart muscle.
- Cardiac implanted electronic devices (CIEDs) monitor heart activity.
- Coronavirus disease 2019 (COVID-19) can lead to myocarditis.
Abstract:
This case report explores the effects of myocarditis induced by coronavirus disease 2019 (COVID-19) on a cardiac implanted electronic device (CIED) and its ability to differentiate depolarisation and repolarisation. Through the modification of the device settings, inappropriate CIED discharges were prevented for the duration of the illness in this 76-year-old male patient. This provides supporting evidence to consider episodes of acute COVID-19 as a cause for T-wave oversensing (TWOS).
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