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急性新型冠状病毒肺炎相关心律失常：病例系列报道及文献综述

Acute COVID-19-Associated Cardiac Arrhythmia: A Case Series and Literature Review.

作者信息

Dolkar Tsering, Patel Meet J, Jitidhar Fnu, Hamad Abubaker M, Gulati Amit, Dogar Muhammad H, Dufresne Alix

机构信息

Internal Medicine, OBH Interfaith Medical Center, Brooklyn, USA.

Medicine, Memorial Hospital of Converse County, Douglas, USA.

出版信息

Cureus. 2022 Aug 1;14(8):e27583. doi: 10.7759/cureus.27583. eCollection 2022 Aug.

DOI:10.7759/cureus.27583
PMID:36059309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9435960/
Abstract

Coronavirus disease 2019 (COVID-19) is a highly contagious infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We report two cases of COVID-19-associated atrial fibrillation (AF) in two elderly females and a case of atrial flutter (AFlutter) in a middle-aged male patient. We believe this case series will contribute to the literature on new-onset AF and AFlutter in patients with acute COVID-19 infection. This case series illustrates various case scenarios of patients developing cardiac arrhythmia with acute COVID-19 infection without any prior history or other explicable cause of AF/AFlutter. The exact mechanism behind COVID-19 infection leading to AF or AFlutter is still unknown. Of the three patients reported, two converted to sinus rhythm following medical management, and one did not convert to sinus rhythm despite medical treatment.

摘要

2019冠状病毒病（COVID-19）是由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）引起的一种高度传染性传染病。我们报告了两例老年女性的COVID-19相关性心房颤动（AF）病例以及一例中年男性患者的心房扑动（AFlutter）病例。我们认为这个病例系列将为有关急性COVID-19感染患者新发房颤和心房扑动的文献做出贡献。这个病例系列展示了急性COVID-19感染患者发生心律失常的各种病例情况，且这些患者既往没有任何房颤/心房扑动病史或其他可解释的原因。COVID-19感染导致房颤或心房扑动的确切机制仍然未知。在报告的三名患者中，两名经药物治疗后转为窦性心律，一名尽管接受了治疗仍未转为窦性心律。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/e3b7082774fa/cureus-0014-00000027583-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/607a4accb347/cureus-0014-00000027583-i01.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/e5c5174ed516/cureus-0014-00000027583-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/9eb876288c7a/cureus-0014-00000027583-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/a94f7e9ea525/cureus-0014-00000027583-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/5c0587bcc685/cureus-0014-00000027583-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/1e652e9403e5/cureus-0014-00000027583-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/e6d66ff65062/cureus-0014-00000027583-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/e3b7082774fa/cureus-0014-00000027583-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/607a4accb347/cureus-0014-00000027583-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/bf01898e2c37/cureus-0014-00000027583-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/fba55fc2291c/cureus-0014-00000027583-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/5a9414f4d31f/cureus-0014-00000027583-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/e5c5174ed516/cureus-0014-00000027583-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/9eb876288c7a/cureus-0014-00000027583-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/a94f7e9ea525/cureus-0014-00000027583-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/5c0587bcc685/cureus-0014-00000027583-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/1e652e9403e5/cureus-0014-00000027583-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/e6d66ff65062/cureus-0014-00000027583-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb88/9435960/e3b7082774fa/cureus-0014-00000027583-i11.jpg

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Electrocardiographic Features of Patients with COVID-19: An Updated Review.新型冠状病毒肺炎患者的心电图特征：最新综述。
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