Takotsubo syndrome(TTS),also known as stress cardiomyopathy,occurs in approximately 2%of all patients presenting with suspected acute coronary syndrome.[1]The in-hospital mortality rate of pati-ents with TTS is report...Takotsubo syndrome(TTS),also known as stress cardiomyopathy,occurs in approximately 2%of all patients presenting with suspected acute coronary syndrome.[1]The in-hospital mortality rate of pati-ents with TTS is reported to be approximately 4%-5%.[2]This condition is commonly associated with various rhythm and conduction disturbances,such as atrial fibrillation(5%-15%),ventricular arrhythmias(4%-9%),and rarely sinus node dysfunction(1.3%).展开更多
BACKGROUND Cardiac arrhythmias,including bradyarrhythmias,have been described as manifestations of coronavirus disease 2019(COVID-19).Herein,we present a case of junctional bradycardia secondary to possible sinus node...BACKGROUND Cardiac arrhythmias,including bradyarrhythmias,have been described as manifestations of coronavirus disease 2019(COVID-19).Herein,we present a case of junctional bradycardia secondary to possible sinus node dysfunction in a patient with COVID-19.CASE SUMMARY The patient was a 32-year-old woman with no significant medical history.On the third day of hospitalization,she developed junctional bradycardia while being hemodynamically stable.The episodes of nodal dysrhythmia with a low heart rate persisted for the next few days and were associated with elevated levels of systemic inflammatory markers.The patient received antiviral and anti-inflammatory treatments for the viral infection but no antiarrhythmic medications.She had a normal sinus rhythm on day 12.CONCLUSION Cardiac rhythm monitoring,focusing on the association between cardiac arrhythmias and the systemic inflammatory response,is important in COVID-19 patients.展开更多
文摘Takotsubo syndrome(TTS),also known as stress cardiomyopathy,occurs in approximately 2%of all patients presenting with suspected acute coronary syndrome.[1]The in-hospital mortality rate of pati-ents with TTS is reported to be approximately 4%-5%.[2]This condition is commonly associated with various rhythm and conduction disturbances,such as atrial fibrillation(5%-15%),ventricular arrhythmias(4%-9%),and rarely sinus node dysfunction(1.3%).
文摘BACKGROUND Cardiac arrhythmias,including bradyarrhythmias,have been described as manifestations of coronavirus disease 2019(COVID-19).Herein,we present a case of junctional bradycardia secondary to possible sinus node dysfunction in a patient with COVID-19.CASE SUMMARY The patient was a 32-year-old woman with no significant medical history.On the third day of hospitalization,she developed junctional bradycardia while being hemodynamically stable.The episodes of nodal dysrhythmia with a low heart rate persisted for the next few days and were associated with elevated levels of systemic inflammatory markers.The patient received antiviral and anti-inflammatory treatments for the viral infection but no antiarrhythmic medications.She had a normal sinus rhythm on day 12.CONCLUSION Cardiac rhythm monitoring,focusing on the association between cardiac arrhythmias and the systemic inflammatory response,is important in COVID-19 patients.
