Cardiac arrhythmias in patients hospitalized with COVID-19: The ACOVID study

Zareini, Bochra; Rajan, Deepthi; El-Sheikh, Mohammed; Jensen, Mads Hashiba; Lassen, Mats Christian Højbjerg; Skaarup, Kristoffer Grundtvig; Hansen, Morten Lock; Jabbari, Reza; Kirk, Ole; Tfelt-Hansen, J; Nielsen, Olav Wendelboe; Lindegaard, Birgitte; Tønder, Niels; Pedersen, Lars; Ulrik, Charlotte Suppli; Ellekvist, Peter; Jensen, Jens Ulrik Stæhr; Schou, Morten; Gislason, Gunnar; Lamberts, Morten

doi:10.1016/j.hroo.2021.03.008

Cited by 10 publications

(14 citation statements)

References 10 publications

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“…They are independently associated with prolonged hospitalization and duration of mechanical ventilation 21 , 22 . Those with advanced age and baseline cardiac comorbidities were more prone to developing arrhythmias in the setting of COVID-19 23 .…”

Section: Cardiac Manifestations Of Covid-19mentioning

confidence: 99%

COVID-19 Cardiovascular Connection: A Review of Cardiac Manifestations in COVID-19 Infection and Treatment Modalities

Maitz

Parfianowicz

Vojtek

et al. 2023

Current Problems in Cardiology

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Section: Cardiac Manifestations Of Covid-19mentioning

confidence: 99%

COVID-19 Cardiovascular Connection: A Review of Cardiac Manifestations in COVID-19 Infection and Treatment Modalities

Maitz

Parfianowicz

Vojtek

et al. 2023

Current Problems in Cardiology

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“… 12 In a multicenter study with non–intensive care unit (ICU) hospitalized patients with COVID‐19, 28% developed supraventricular tachycardia, and serious arrhythmias were rare. 13 Whether dyspnea or fatigue after COVID‐19 are related to cardiac function is not known.…”

mentioning

confidence: 99%

Cardiac Dysfunction and Arrhythmias 3 Months After Hospitalization for COVID‐19

Ingul

Grimsmo²,

Mecinaj

et al. 2022

JAHA

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Background The extent of cardiac dysfunction post‐COVID‐19 varies, and there is a lack of data on arrhythmic burden. Methods and Results This was a combined multicenter prospective cohort study and cross‐sectional case‐control study. Cardiac function assessed by echocardiography in patients with COVID‐19 3 to 4 months after hospital discharge was compared with matched controls. The 24‐hour ECGs were recorded in patients with COVID‐19. A total of 204 patients with COVID‐19 consented to participate (mean age, 58.5 years; 44% women), and 204 controls were included (mean age, 58.4 years; 44% women). Patients with COVID‐19 had worse right ventricle free wall longitudinal strain (adjusted estimated mean difference, 1.5 percentage points; 95% CI, −2.6 to −0.5; P =0.005) and lower tricuspid annular plane systolic excursion (−0.10 cm; 95% CI, −0.14 to −0.05; P <0.001) and cardiac index (−0.26 L/min per m 2 ; 95% CI, −0.40 to −0.12; P <0.001), but slightly better left ventricle global strain (−0.8 percentage points; 95% CI, 0.2–1.3; P =0.008) compared with controls. Reduced diastolic function was twice as common compared with controls (60 [30%] versus 29 [15%], respectively; odds ratio, 2.4; P =0.001). Having dyspnea or fatigue were not associated with cardiac function. Right ventricle free wall longitudinal strain was worse after intensive care treatment. Arrhythmias were found in 27% of the patients, mainly premature ventricular contractions and nonsustained ventricular tachycardia (18% and 5%, respectively). Conclusions At 3 months after hospital discharge with COVID‐19, right ventricular function was mildly impaired, and diastolic dysfunction was twice as common compared with controls. There was little evidence for an association between cardiac function and intensive care treatment, dyspnea, or fatigue. Ventricular arrhythmias were common, but the clinical importance is unknown. Registration URL: http://clinicaltrials.gov . Unique Identifier: NCT04535154.

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“…Indeed, hospital admission in the intensive care unit and thromboembolic risk (pulmonary embolism, stroke, or deep vein thrombosis) was higher in COVID-19 patients with atrial arrhythmia than the general population. 49 Therefore, giving the critical conditions of these patients, it is not unexpected that AF should be considered as an independent predictor of 30-day mortality (adjusted odds ratio: 1.93; P = .007). 14 …”

Section: Supraventricular Tachycardia Prevalence and Outcomementioning

confidence: 94%