Abstract
This case study investigates the heart rate (HR) and heart rate variability (HRV) in a patient with coronavirus disease 2019 (COVID-19). We report the case of a 58-year old male who contracted COVID-19. During his disease, 24-hour Holter electrocardiography (ECG) was performed continuously. For comparison, his 24-hour Holter ECGs from the previous 10 years were available. In this patient, COVID-19 was associated with a decrease in HR and a paradoxical decline in HRV. An abrupt decline in HRV and a decrease in HR may signal the onset of COVID-19 before common symptoms such as dry cough or fever appear. In addition, HRV and HR measurements may help to evaluate the course of the disease.
Highlights
Corona virus disease (COVID-19) has been declared a pandemic by the WHO
We report the case of a 58-year old male who contracted COVID-19
COVID-19 was associated with a decrease in heart rate (HR) and a paradoxical decline in heart rate variability (HRV)
Summary
Corona virus disease (COVID-19) has been declared a pandemic by the WHO. The global mortality rate is about 3.4% (WHO, 2020), and observational studies indicate that preexisting conditions such as obesity, cardiovascular disease, diabetes, chronic respiratory disease, hypertension, and cancer increase this rate. 2. University of Wuerzburg, Medical Faculty, Josef-Schneider-Straße 2, Würzburg, Germany. Corresponding author: Christoph Baumann University of Wuerzburg, Medical Faculty, Josef-Schneider-Straße 2,Würzburg, Germany. This case study investigates the heart rate (HR) and heart rate variability (HRV) in a patient with coronavirus disease 2019 (COVID-19).
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