Maheshwari Mani, Athiraman Hemanthkumar
Hospital Medicine, Banner Health, Mesa, USA.
Cureus. 2021 Nov 26;13(11):e19919. doi: 10.7759/cureus.19919. eCollection 2021 Nov.
Remdesivir is an antiviral that inhibits RNA-dependent RNA polymerases of coronaviruses, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It is a cornerstone of therapy for hospitalized patients with coronavirus disease 2019 (COVID-19), especially those worsening from a respiratory standpoint despite being started on antibiotics, dexamethasone, zinc, and vitamin C. This is a case report describing two COVID-19-positive patients with bradycardia after starting remdesivir. Once remdesivir was discontinued, one patient corrected to normal sinus rhythm, and the other continued with persistent bradycardia.
瑞德西韦是一种抗病毒药物,可抑制包括严重急性呼吸综合征冠状病毒2(SARS-CoV-2)在内的冠状病毒的RNA依赖性RNA聚合酶。它是2019冠状病毒病(COVID-19)住院患者治疗的基石,尤其是那些尽管已开始使用抗生素、地塞米松、锌和维生素C,但从呼吸角度来看仍在恶化的患者。这是一份病例报告,描述了两名在开始使用瑞德西韦后出现心动过缓的COVID-19阳性患者。停用瑞德西韦后,一名患者恢复为正常窦性心律,另一名患者仍持续存在心动过缓。