{"id":2217,"date":"2024-12-06T05:31:05","date_gmt":"2024-12-06T05:31:05","guid":{"rendered":"https:\/\/suburban-blog.abymtech.com\/?p=2217"},"modified":"2025-03-05T10:21:51","modified_gmt":"2025-03-05T10:21:51","slug":"arrhythmias-and-ecg-abnormalities-in-covid-19","status":"publish","type":"post","link":"https:\/\/www.suburbandiagnostics.com\/blog\/arrhythmias-and-ecg-abnormalities-in-covid-19\/","title":{"rendered":"Arrhythmias and ECG abnormalities in COVID-19"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-2236\" src=\"https:\/\/suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-300x180.webp\" alt=\"\" width=\"1342\" height=\"805\" title=\"\" srcset=\"https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-300x180.webp 300w, https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-768x461.webp 768w, https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19.webp 1000w\" sizes=\"(max-width: 1342px) 100vw, 1342px\" \/><\/p>\n<p style=\"font-weight: 400;\">Arrhythmias may complicate hospitalized patients with COVID-19 in up to 16.7% of cases and tend to prolong the ICU stay. The arrhythmia mechanisms are highly variable and include supraventricular tachycardia, polymorphic ventricular tachycardia (VT) and torsade.<\/p>\n<p style=\"font-weight: 400;\">The exact etiology of arrhythmias is unclear at present, but besides the usual culprits (like &#8211; hypoxia, inflammatory cascade, myocarditis), drug therapy such as chloroquine, hydroxychloroquine, moxifloxacin and azithromycin can also be etiologic factors.<\/p>\n<p style=\"font-weight: 400;\"><b>Indications for ECG in COVID-19:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 Baseline <a href=\"https:\/\/www.suburbandiagnostics.com\/services\/diagnostics-services\/cardiology\">ECG<\/a> in all with evidence of moderate or severe COVID-19 infection<\/li>\n<li style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 Anyone with pre-existing cardiovascular disease or high-risk factor burden<\/li>\n<li style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 Those with arrhythmia<\/li>\n<li style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 Marked cardiac troponin elevation<\/li>\n<li style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 Typical acute coronary syndrome symptoms<\/li>\n<li style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 Daily ECGs in those given hydroxychloroquine<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><b>ECG abnormalities observed in COVID-19 patients:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 Rhythm abnormalities-<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">o \u00a0 Ventricular tachycardia<\/p>\n<p style=\"font-weight: 400;\">o \u00a0 Torsades de pointes<\/p>\n<p style=\"font-weight: 400;\">o \u00a0 Atrial fibrillation<\/p>\n<p style=\"font-weight: 400;\">o \u00a0 Supra ventricular tachycardia<\/p>\n<ul>\n<li style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 Specific abnormalities-<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">o \u00a0 ST elevation in I, II, aVL and V2-6. Coronary angiography demonstrated non-occlusive coronary artery disease<\/p>\n<p style=\"font-weight: 400;\">o \u00a0 Sinus tachycardia in patients with cardiogenic shock and severe left ventricular dysfunction<\/p>\n<p style=\"font-weight: 400;\">o \u00a0 Premature atrial and ventricular complexes, lateral-wave inversion and prolonged QT<\/p>\n<p style=\"font-weight: 400;\">o \u00a0 Sinus rhythm with non-specific ST and T-wave changes<\/p>\n<p style=\"font-weight: 400;\"><b>Coronary angiography should be performed in those with reciprocal ECG changes and high sensitivity troponin elevation, particularly if progressive.<\/b><\/p>\n<p style=\"font-weight: 400;\"><b>#unburdenhealthcare with us.<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Arrhythmias may complicate hospitalized patients with COVID-19 in up to 16.7% of cases and tend to prolong the ICU stay. The arrhythmia mechanisms are highly variable and include supraventricular tachycardia, polymorphic ventricular tachycardia (VT) and torsade. The exact etiology of arrhythmias is unclear at present, but besides the usual culprits (like &#8211; hypoxia, inflammatory cascade,<span class=\"post-excerpt-end\">&hellip;<\/span><\/p>\n<p class=\"more-link\"><a href=\"https:\/\/www.suburbandiagnostics.com\/blog\/arrhythmias-and-ecg-abnormalities-in-covid-19\/\" class=\"themebutton\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":2236,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-2217","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-for-doctors"],"blog_post_layout_featured_media_urls":{"thumbnail":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-150x150.webp",150,150,true],"full":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19.webp",1000,600,false]},"categories_names":{"5":{"name":"For Doctors","link":"https:\/\/www.suburbandiagnostics.com\/blog\/for-doctors\/"}},"tags_names":[],"comments_number":"0","rttpg_featured_image_url":{"full":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19.webp",1000,600,false],"landscape":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19.webp",1000,600,false],"portraits":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19.webp",1000,600,false],"thumbnail":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-150x150.webp",150,150,true],"medium":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-300x180.webp",300,180,true],"large":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19.webp",1000,600,false],"1536x1536":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19.webp",1000,600,false],"2048x2048":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19.webp",1000,600,false],"shuttle-column1-1\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-1000x380.webp",1000,380,true],"shuttle-column1-1\/4":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-1000x285.webp",1000,285,true],"shuttle-column2-1\/2":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-570x285.webp",570,285,true],"shuttle-column2-2\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-570x380.webp",570,380,true],"shuttle-column3-1\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-380x107.webp",380,107,true],"shuttle-column3-2\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-380x254.webp",380,254,true],"shuttle-column4-2\/3":["https:\/\/www.suburbandiagnostics.com\/blog\/wp-content\/uploads\/2024\/12\/Arrhythmias-and-ECG-abnormalities-in-COVID-19-285x190.webp",285,190,true]},"rttpg_author":{"display_name":"Suburban","author_link":"https:\/\/www.suburbandiagnostics.com\/blog\/author\/suburban\/"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/www.suburbandiagnostics.com\/blog\/for-doctors\/\" rel=\"category tag\">For Doctors<\/a>","rttpg_excerpt":"Arrhythmias may complicate hospitalized patients with COVID-19 in up to 16.7% of cases and tend to prolong the ICU stay. The arrhythmia mechanisms are highly variable and include supraventricular tachycardia, polymorphic ventricular tachycardia (VT) and torsade. The exact etiology of arrhythmias is unclear at present, but besides the usual culprits (like &#8211; hypoxia, inflammatory cascade,&hellip;Read&hellip;","_links":{"self":[{"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/posts\/2217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/comments?post=2217"}],"version-history":[{"count":4,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/posts\/2217\/revisions"}],"predecessor-version":[{"id":4335,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/posts\/2217\/revisions\/4335"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/media\/2236"}],"wp:attachment":[{"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/media?parent=2217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/categories?post=2217"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.suburbandiagnostics.com\/blog\/wp-json\/wp\/v2\/tags?post=2217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}