Low prevalence of arrhythmias in clinically stable COVID-19 patients

Pacing Clin Electrophysiol. 2020 Aug;43(8):891-893. doi: 10.1111/pace.13987. Epub 2020 Jul 3.

Abstract

Background: No studies investigated the prevalence of arrhythmias among clinically-stable patients affected by COVID-19 infection.

Methods: We assessed prevalence, type, and burden of arrhythmias, by a single-day snapshot in seven non-intensive COVID Units at a third-level center.

Results: We enrolled 132 inhospital patients (mean age 65±14y; 66% males) newly diagnosed with COVID-19 infection. Arrhythmic episodes were detected in 12 patients (9%). In detail, 8 had atrial fibrillation, and 4 self-limiting supraventricular tachyarrhythmias. There were no cases of ventricular arrhythmias or new-onset atrioventricular blocks. In addition, we report no patients with QTc interval >450 ms.

Conclusions: Our single-day snapshot survey suggests that the prevalence of arrhythmias among clinically stable COVID-19 patients is low. In particular, no life-threatening arrhythmic events occurred.

Keywords: COVID-19; SARS-CoV-2; arrhythmias; atrial fibrillation; coronavirus.

MeSH terms

  • Aged
  • Arrhythmias, Cardiac / epidemiology*
  • COVID-19 / complications*
  • COVID-19 / epidemiology
  • Female
  • Humans
  • Italy / epidemiology
  • Male
  • Pandemics
  • Prevalence
  • SARS-CoV-2