Viscusi Michele Mattia, Ambrosio Luca, Ricciardi Danilo, Mangiacapra Fabio, Nusca Annunziata, Paolucci Luca, Ussia Gian Paolo, Grigioni Francesco
Unit of Cardiac Sciences, Department of Medicine, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy.
Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy.
Reports (MDPI). 2023 Mar 15;6(1):15. doi: 10.3390/reports6010015.
Nasopharyngeal (NP) swab sampling is a simple procedure that has become extremely popular in the coronavirus disease 2019 (COVID-19) era, with hundreds of million specimens collected every day. However, rare but serious complications have been reported following NP swab acquisition. Here we present a case of paroxysmal atrial fibrillation associated with NP specimen collection in a healthy healthcare provider undergoing COVID-19 testing during departmental screening. This response may have been caused by an exaggerated vagal tone triggered by the trigeminocardiac reflex. Less invasive collection methods, such as saliva testing, may be warranted in predisposed individuals.
鼻咽拭子采样是一种简单的操作，在2019冠状病毒病（COVID-19）流行期间变得极为普遍，每天有上亿份样本被采集。然而，已有鼻咽拭子采样后出现罕见但严重并发症的报道。在此，我们报告一例在科室筛查期间接受COVID-19检测的健康医护人员，其在采集鼻咽标本后发生阵发性心房颤动。这种反应可能是由三叉神经心脏反射触发的迷走神经张力亢进所致。对于易感个体，可能有必要采用侵入性较小的采集方法，如唾液检测。
