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Low prevalence of arrhythmias in clinically stable COVID‐19 patients

Simone Sala, Giovanni Peretto, Giacomo De Luca, Nicola Farina, Corrado Campochiaro, Moreno Tresoldi, Lorenzo Dagna, Alberto Zangrillo, Simone Gulletta, Paolo Della Bella

2020Pacing and Clinical Electrophysiology55 citationsDOIOpen Access PDF

Abstract

BACKGROUND: No studies investigated the prevalence of arrhythmias among clinically-stable patients affected by COVID-19 infection. METHODS: We assessed prevalence, type, and burden of arrhythmias, by a single-day snapshot in seven non-intensive COVID Units at a third-level center. RESULTS: We enrolled 132 inhospital patients (mean age 65±14y; 66% males) newly diagnosed with COVID-19 infection. Arrhythmic episodes were detected in 12 patients (9%). In detail, 8 had atrial fibrillation, and 4 self-limiting supraventricular tachyarrhythmias. There were no cases of ventricular arrhythmias or new-onset atrioventricular blocks. In addition, we report no patients with QTc interval >450 ms. CONCLUSIONS: Our single-day snapshot survey suggests that the prevalence of arrhythmias among clinically stable COVID-19 patients is low. In particular, no life-threatening arrhythmic events occurred.

Topics & Concepts

MedicineCoronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)CardiologyInternal medicineVirologyOutbreakDiseaseInfectious disease (medical specialty)COVID-19 Clinical Research StudiesCardiac electrophysiology and arrhythmiasCardiovascular Effects of Exercise