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与COVID-19相关的症状性室性二联律和三联律

Symptomatic Ventricular Bigeminy and Trigeminy Associated With COVID-19.

作者信息

Hu Janie, Phan Alexander T, Oganesian Buzand, Kim Hyungjin B

机构信息

Internal Medicine, Arrowhead Regional Medical Center, Colton, USA.

Cardiology, Loma Linda University Medical Center, Loma Linda, USA.

出版信息

Cureus. 2023 May 6;15(5):e38650. doi: 10.7759/cureus.38650. eCollection 2023 May.

DOI:10.7759/cureus.38650
PMID:37288241
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10241988/
Abstract

Cardiac manifestations of COVID-19 are well-described in the current literature, although electrocardiogram analyses of COVID-19 patients are limited. The most common arrhythmias experienced by patients with COVID-19 include sinus tachycardia and atrial fibrillation. Ventricular bigeminy associated with COVID-19 is exceedingly rare and requires further studies to determine its incidence and clinical significance. Here, we present the case of a 57-year-old male with no prior cardiac history who was found to have COVID-19 and new-onset, symptomatic premature ventricular contraction bigeminy. This case highlights a rare potential association between COVID-19 and ventricular bigeminy/trigeminy.

摘要

虽然目前关于新冠病毒病(COVID-19)患者的心电图分析有限,但COVID-19的心脏表现已在当前文献中有充分描述。COVID-19患者最常见的心律失常包括窦性心动过速和心房颤动。与COVID-19相关的室性二联律极为罕见,需要进一步研究以确定其发生率和临床意义。在此,我们报告一例57岁男性患者,既往无心脏病史,被诊断为COVID-19且出现新发有症状的室性早搏二联律。该病例凸显了COVID-19与室性二联律/三联律之间罕见的潜在关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c07/10241988/7a61c99d9388/cureus-0015-00000038650-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c07/10241988/7a61c99d9388/cureus-0015-00000038650-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c07/10241988/7a61c99d9388/cureus-0015-00000038650-i03.jpg

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本文引用的文献

1
ECG changes in hospitalised patients with COVID-19 infection.新型冠状病毒肺炎(COVID-19)感染住院患者的心电图变化。
Br J Cardiol. 2021 Jun 2;28(2):24. doi: 10.5837/bjc.2021.024. eCollection 2021.
2
Cardiac arrhythmias amongst hospitalised Coronavirus 2019 (COVID-19) patients: Prevalence, characterisation, and clinical algorithm to classify arrhythmic risk.住院的 2019 年冠状病毒病(COVID-19)患者中的心律失常:发生率、特征和用于分类心律失常风险的临床算法。
Int J Clin Pract. 2021 Apr;75(4):e13788. doi: 10.1111/ijcp.13788. Epub 2021 Feb 8.