The number of confirmed COVID-19 cases has increased drastically;however, information regarding the impact of this disease on the occurrence of arrhythmias is scarce The aim of this study was to determine the impact of COVID-19 on arrhythmia occurrence This prospective study included patients with COVID-19 treated at the Leishenshan Temporary Hospital of Wuhan City, China, from February 24 to April 5, 2020 Demographic, comorbidity, and arrhythmias data were collected from patients with COVID-19 (n = 84) and compared with control data from patients with bacterial pneumonia (n = 84) infection Furthermore, comparisons were made between patients with severe and nonsevere COVID-19 and between older and younger patients Compared with patients with bacterial pneumonia, those with COVID-19 had higher total, mean, and minimum heart rates (all P &lt; 0 01) Patients with severe COVID-19 (severe and critical type diseases) developed more atrial arrhythmias compared with those with nonsevere symptoms Plasma creatine kinase isoenzyme (CKMB) levels (P = 0 01) were higher in the severe group than in the nonsevere group, and there were more deaths in the severe group than in the nonsevere group (6 (15%) vs 3 (2 30%);P = 0 05) Premature atrial contractions (PAC) and nonsustained atrial tachycardia (NSAT) were significantly positively correlated with plasma CKMB levels but not with high-sensitive cardiac troponin I or myoglobin levels Our data demonstrate that COVID-19 patients have higher total, mean, and minimum heart rates compared with those with bacterial pneumonia Patients with severe or critical disease had more frequent atrial arrhythmias (including PAC and AF) and higher CKMB levels and mortality than those with nonsevere symptoms [ABSTRACT FROM AUTHOR] Copyright of Cardiology Research & Practice is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )
Atrial Arrhythmias in Patients with Severe COVID-19