The Risk of Arrhythmias in Patients with COVID-19

<b>Background and Objectives:</b> Cardiac arrhythmias during the SARS-CoV-2 infection may occur due to the direct impact of the virus on the respiratory and cardiovascular systems, as well as through the broader effects of systemic inflammation, or a combination of both. Additional mecha...

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Main Authors: Lina Haj Ali, Loredana Suhov, Adrian Apostol, Larissa Dăniluc, Oana Sandu, Carina Bogdan, Viviana Mihaela Ivan
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/6/1368
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author Lina Haj Ali
Loredana Suhov
Adrian Apostol
Larissa Dăniluc
Oana Sandu
Carina Bogdan
Viviana Mihaela Ivan
author_facet Lina Haj Ali
Loredana Suhov
Adrian Apostol
Larissa Dăniluc
Oana Sandu
Carina Bogdan
Viviana Mihaela Ivan
author_sort Lina Haj Ali
collection DOAJ
description <b>Background and Objectives:</b> Cardiac arrhythmias during the SARS-CoV-2 infection may occur due to the direct impact of the virus on the respiratory and cardiovascular systems, as well as through the broader effects of systemic inflammation, or a combination of both. Additional mechanisms include the proarrhythmic effects of COVID-19 pharmacotherapies, drug–drug interactions, and associated autonomic dysfunction. To improve future risk stratification and clinical management, it is essential to accurately assess the risk of arrhythmia in the context of severe infections, in order to develop diagnostic and therapeutic algorithms that support the fastest and safest possible interventions. <b>Materials and Methods:</b> This retrospective observational study included 151 patients diagnosed with COVID-19, who were hospitalized at the Cardiology Clinic of the Timisoara County Emergency Hospital between 2020 and 2022. <b>Results:</b> The most common arrhythmia observed was atrial fibrillation. Elevated inflammatory markers were associated with a higher risk of arrhythmias and increased mortality. <b>Conclusions:</b> The onset of sepsis, as indicated by the laboratory markers, was associated with increased incidence of arrhythmias and unfavorable outcome of the disease.
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spelling doaj-art-646e3ed366ff4b5ea5eecead4afa66b22025-08-20T03:27:26ZengMDPI AGBiomedicines2227-90592025-06-01136136810.3390/biomedicines13061368The Risk of Arrhythmias in Patients with COVID-19Lina Haj Ali0Loredana Suhov1Adrian Apostol2Larissa Dăniluc3Oana Sandu4Carina Bogdan5Viviana Mihaela Ivan6Doctoral School, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDoctoral School, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDepartment of Cardiology, Pius Brinzeu Clinical Emergency County Hospital Timisoara, 300736 Timisoara, RomaniaDoctoral School, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDoctoral School, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDoctoral School, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDepartment of Cardiology, Pius Brinzeu Clinical Emergency County Hospital Timisoara, 300736 Timisoara, Romania<b>Background and Objectives:</b> Cardiac arrhythmias during the SARS-CoV-2 infection may occur due to the direct impact of the virus on the respiratory and cardiovascular systems, as well as through the broader effects of systemic inflammation, or a combination of both. Additional mechanisms include the proarrhythmic effects of COVID-19 pharmacotherapies, drug–drug interactions, and associated autonomic dysfunction. To improve future risk stratification and clinical management, it is essential to accurately assess the risk of arrhythmia in the context of severe infections, in order to develop diagnostic and therapeutic algorithms that support the fastest and safest possible interventions. <b>Materials and Methods:</b> This retrospective observational study included 151 patients diagnosed with COVID-19, who were hospitalized at the Cardiology Clinic of the Timisoara County Emergency Hospital between 2020 and 2022. <b>Results:</b> The most common arrhythmia observed was atrial fibrillation. Elevated inflammatory markers were associated with a higher risk of arrhythmias and increased mortality. <b>Conclusions:</b> The onset of sepsis, as indicated by the laboratory markers, was associated with increased incidence of arrhythmias and unfavorable outcome of the disease.https://www.mdpi.com/2227-9059/13/6/1368COVID-19inflammatory markersarrhythmiaatrial fibrillation
spellingShingle Lina Haj Ali
Loredana Suhov
Adrian Apostol
Larissa Dăniluc
Oana Sandu
Carina Bogdan
Viviana Mihaela Ivan
The Risk of Arrhythmias in Patients with COVID-19
Biomedicines
COVID-19
inflammatory markers
arrhythmia
atrial fibrillation
title The Risk of Arrhythmias in Patients with COVID-19
title_full The Risk of Arrhythmias in Patients with COVID-19
title_fullStr The Risk of Arrhythmias in Patients with COVID-19
title_full_unstemmed The Risk of Arrhythmias in Patients with COVID-19
title_short The Risk of Arrhythmias in Patients with COVID-19
title_sort risk of arrhythmias in patients with covid 19
topic COVID-19
inflammatory markers
arrhythmia
atrial fibrillation
url https://www.mdpi.com/2227-9059/13/6/1368
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