Bhambhani Anupam, Pasam Prajith
Department of Cardiology, Vydehi Institute of Medical Sciences and Research Centre, #82, EPIP Area, Whitefield, Bengaluru 560066, Karnataka, India.
Natl Med J India. 2022 Jul-Aug;35(4):236-238. doi: 10.25259/NMJI_774_20.
Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) infection is observed to be associated with several cardiac complications. Cardiac arrhythmias are frequently observed in critically ill patients and are usually associated with myocarditis. We report two patients with Covid-19, in whom serious arrhythmias were the sole presenting feature, in the absence of any of the known manifestations of the disease. Further research is required into this yet unknown mechanism of the effect of Covid-19 on the conduction system. Thus, managing patients with acute-onset arrhythmias of unexplained aetiology, even when they present without known clinical features of Covid-19, should be done with care.
据观察，严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染与多种心脏并发症有关。危重症患者中经常出现心律失常，且通常与心肌炎有关。我们报告了两名新冠肺炎患者，他们仅以严重心律失常为唯一表现，没有该疾病的任何已知表现。对于新冠病毒对传导系统影响的这一未知机制，还需要进一步研究。因此，对于病因不明的急性心律失常患者，即使他们没有新冠病毒的已知临床特征，在治疗时也应谨慎。
