Multiple Arrhythmias in COVID-19 Patients: A Case Series

Abstract

Extra-pulmonary manifestations of severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] infection such as cardiovascular complications have been reported and previous case reports have documented evidence of myocardial damage. Currently, very few case reports of the arrhythmias associated with Coronavirus Disease 2019 [COVID-19] exist. In this case series, we demonstrate two cases of critically ill COVID-19 patients with cardiac rhythm abnormalities that might be a direct or indirect consequence of this infection. Each of the patients experienced a variety of cardiac rhythm abnormalities. None of the patients had any record of cardiac rhythm abnormalities prior to admission. The unique point of these cases is the multiple dysrhythmias in the same patients that have not been reported previously. We demonstrated that critically ill COVID-19 patients develop different arrhythmias ranging from sinus tachycardia, bradycardia, atrial fibrillation, supraventricular tachycardia, and non-sustained ventricular tachycardia. Non-sustained monomorphic ventricular tachycardia was the most common arrhythmia in the two cases despite normalization of electrolyte imbalances and avoidance of QTc prolonging agents.