New-Onset Cardiac Arrhythmias During COVID-19 Hospitalization

Iacopino, Saverio; Placentino, Filippo; Colella, Jacopo; Pesce, Francesca; Pardeo, Antonino; Filannino, Pasquale; Artale, Paolo; Desiro, Dalila; Sorrenti, Paolo; Campagna, Giuseppe; Fabiano, Gennaro; Peluso, Gianluca; Giacopelli, Daniele; Petretta, Andrea

doi:10.1161/circep.120.009040

Cited by 23 publications

(37 citation statements)

References 5 publications

(7 reference statements)

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“…AF was identified as the most common arrhythmic event [8]. In a cohort of 30 patients from Italy, a possible association of cardiac arrhythmias and increased inflammatory markers as well as mortality in COVID-19 was pointed out, however, with limited reliability of results due to the small sample size [9]. Insight into the role of arrhythmias in COVID-19 is of particular importance as widely used pharmacological therapies attempting to mitigate the course of disease may be associated with proarrhythmic effects [10].…”

Section: Introductionmentioning

confidence: 99%

Predictors and Prognostic Implications of Cardiac Arrhythmias in Patients Hospitalized for COVID-19

Zylla

Merle

Vey

et al. 2021

JCM

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Background: Cardiac manifestation of COVID-19 has been reported during the COVID pandemic. The role of cardiac arrhythmias in COVID-19 is insufficiently understood. This study assesses the incidence of cardiac arrhythmias and their prognostic implications in hospitalized COVID-19-patients. Methods: A total of 166 patients from eight centers who were hospitalized for COVID-19 from 03/2020–06/2020 were included. Medical records were systematically analyzed for baseline characteristics, biomarkers, cardiac arrhythmias and clinical outcome parameters related to the index hospitalization. Predisposing risk factors for arrhythmias were identified. Furthermore, the influence of arrhythmia on the course of disease and related outcomes was assessed using univariate and multiple regression analyses. Results: Arrhythmias were detected in 20.5% of patients. Atrial fibrillation was the most common arrhythmia. Age and cardiovascular disease were predictors for new-onset arrhythmia. Arrhythmia was associated with a pronounced increase in cardiac biomarkers, prolonged hospitalization, and admission to intensive- or intermediate-care-units, mechanical ventilation and in-hospital mortality. In multiple regression analyses, incident arrhythmia was strongly associated with duration of hospitalization and mechanical ventilation. Cardiovascular disease was associated with increased mortality. Conclusions: Arrhythmia was the most common cardiac event in association with hospitalization for COVID-19. Older age and cardiovascular disease predisposed for arrhythmia during hospitalization. Whereas in-hospital mortality is affected by underlying cardiovascular conditions, arrhythmia during hospitalization for COVID-19 is independently associated with prolonged hospitalization and mechanical ventilation. Thus, incident arrhythmia may indicate a patient subgroup at risk for a severe course of disease.

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Section: Introductionmentioning

confidence: 99%

Predictors and Prognostic Implications of Cardiac Arrhythmias in Patients Hospitalized for COVID-19

Zylla

Merle

Vey

et al. 2021

JCM

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“…In the COVID-19 pandemic scenario, this may be a useful tool for patients predisposed to the infection. This hypothesis is still more meaningful considering that patients with cardiovascular diseases who are infected by the virus have an elevated risk of adverse outcomes [ 1 , 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

Remote monitoring temporal trends during COVID-19 pneumonia in patients with implanted defibrillators

Mascioli

Lucca

Annunziata³

et al. 2021

Journal of Cardiology Cases

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“…In our cases, these arrhythmic complications appeared later than the other variables variations to indicate that they could be consequences of the ongoing inflammatory status. Data on arrhythmias during COVID‐19 infection are still scant, but these complications are not unexpected 10 . According to recent findings, arrhythmias could be also the result of oxidative stress, apoptosis, and fibrosis promoted by inflammation.…”

Section: Discussionmentioning

confidence: 99%

Home Monitoring trends during COVID‐19 infection

Simone¹,

Guardalben²,

Guarise³

et al. 2020

Journal of Arrhythmia

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The pathological manifestation of the novel coronavirus (COVID-19) infection was reported not only as a viral pneumonia, but also as a complex, multi-organ systemic disease. 1,2 The elderly population was the one who experienced the most complicated clinical courses of the infection, with prolonged hospitalizations and high mortality rates. 3 Among them, cardiac implantable electronic device (CIED) recipients could be even at higher risk due to the presence of underlying cardiovascular diseases. 4 Remote monitoring (RM) of CIED, which is a well-established reality in our Cardiology department, automatically provides a wide spectrum of clinical information. 5 As some of these patients were affected by the COVID-19 infection, we aimed to explore the transmitted data from their device to investigate potential recurrent and specific patterns of some variables during the infection. 2 | ME THODS We identified CIED recipients followed with the Home Monitoring (HM) technology (BIOTRONIK) with confirmed COVID-19 positive testing. Our objective was to analyze the RM transmissions during the infection course and to investigate the association of longitudinal

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New-Onset Cardiac Arrhythmias During COVID-19 Hospitalization

Cited by 23 publications

References 5 publications

Predictors and Prognostic Implications of Cardiac Arrhythmias in Patients Hospitalized for COVID-19

Predictors and Prognostic Implications of Cardiac Arrhythmias in Patients Hospitalized for COVID-19

Remote monitoring temporal trends during COVID-19 pneumonia in patients with implanted defibrillators

Home Monitoring trends during COVID‐19 infection

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