Abstract
Cardiovascular manifestations of COVID-19 include cardiac rhythm disturbances, whose mechanisms, incidence, and most common types are not well established in this population. Intense inflammatory response and metabolic activity contribute to recurrence of pre-existing arrhythmias, and other arrhythmias can occur due to myocardial injury, acute coronary insufficiency, and electrolyte disturbances. Brady- and tachyarrhythmias, as well as conduction disorders have been described. QT interval prolongation and fatal ventricular arrhythmias ( Torsades de Pointes ) may result from the pathological process or [...]
Highlights
The infection by SARS-CoV-2, the virus that causes COVID-19, may lead to clinical manifestations that directly affect several organs and systems
Due to limited information on cardiac electrical disturbances related to COVID-19, current recommendations on the management of arrhythmias during the infection are based on existing evidence before the pandemic
The current review aims to explore the pathophysiological mechanisms involved in arrhythmogenic cardiomyopathy, as well as clinical and therapeutic features of adult and pediatric COVID-19 patients, and patients with implantable cardiac electronic devices
Summary
Alexsandro Alves Fagundes,[1,2] Sissy Lara de Melo,[3] Luciana Armaganijan,[4] Ricardo Kuniyoshi,[5] Luis Gustavo Belo de Moraes,[6] Vanessa Alves Guimarães Borges,[3] Mauricio Scanavacca,[3] Martino Martinelli Filho,[3] Ricardo Alkmim Teixeira[1,7,8]. Sociedade Brasileira de Arritmias Cardíacas,[1] São Paulo, SP – Brazil Universidade do Estado da Bahia,[2] Salvador, BA – Brazil Universidade de São Paulo - Instituto do Coração,[3] São Paulo, SP – Brazil Instituto Dante Pazzanese de Cardiologia,[4] São Paulo, SP – Brazil Centrocor,[5] Vitória, ES – Brazil Universidade Federal do Rio de Janeiro - Hospital Universitario Clementino Fraga Filho,[6] Rio de Janeiro, RJ – Brazil Universidade do Vale do Sapucai,[7] Pouso Alegre, MG – Brazil Hospital Renascentista,[8] Pouso Alegre, MG – Brazil
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