Ventricular Tachycardia or Fibrillation Storm in Coronavirus Disease
Ventricular tachycardia (VT) or ventricular fibrillation (VF) storm associated with severe acute respiratory syndrome coronavirus 2 infection is a potentially fatal complication; the correlation of these 2 disorders, however, has not been well studied. This retrospective case series examined outcome...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/1157728 |
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| author | Muhammad H. Khan Obadah Aqtash David M. Harris Alexandru I. Costea Myron C. Gerson |
| author_facet | Muhammad H. Khan Obadah Aqtash David M. Harris Alexandru I. Costea Myron C. Gerson |
| author_sort | Muhammad H. Khan |
| collection | DOAJ |
| description | Ventricular tachycardia (VT) or ventricular fibrillation (VF) storm associated with severe acute respiratory syndrome coronavirus 2 infection is a potentially fatal complication; the correlation of these 2 disorders, however, has not been well studied. This retrospective case series examined outcomes of 2 patients who were admitted for repeated implantable cardioverter-defibrillator shocks with or without syncope and observed to have VT/VF storms with COVID-19. Mechanisms of VT/VF storms in COVID-19 are multifactorial including myocarditis, systemic inflammation, hyperadrenergic state, hemodynamic instability, hypoxia, acidosis, and proarrhythmic drugs. A higher incidence of VT/VF storm is observed in patients with comorbidities and those requiring critical care, with some studies reporting increased mortality. In our cohort, 1 of the 2 patients succumbed to the complications from COVID-19, and the other patient was discharged to home in stable condition. Monitoring of life-threatening arrhythmias in the setting of COVID-19 may need to be adopted to prevent morbidity and mortality. |
| format | Article |
| id | doaj-art-75bc67d9c033407ea944c59d37d405c9 |
| institution | Kabale University |
| issn | 2090-6412 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-75bc67d9c033407ea944c59d37d405c92025-08-20T03:35:32ZengWileyCase Reports in Cardiology2090-64122022-01-01202210.1155/2022/1157728Ventricular Tachycardia or Fibrillation Storm in Coronavirus DiseaseMuhammad H. Khan0Obadah Aqtash1David M. Harris2Alexandru I. Costea3Myron C. Gerson4Department of Internal MedicineDepartment of Cardiovascular MedicineDepartment of Cardiovascular MedicineDepartment of Cardiovascular MedicineDepartment of Cardiovascular MedicineVentricular tachycardia (VT) or ventricular fibrillation (VF) storm associated with severe acute respiratory syndrome coronavirus 2 infection is a potentially fatal complication; the correlation of these 2 disorders, however, has not been well studied. This retrospective case series examined outcomes of 2 patients who were admitted for repeated implantable cardioverter-defibrillator shocks with or without syncope and observed to have VT/VF storms with COVID-19. Mechanisms of VT/VF storms in COVID-19 are multifactorial including myocarditis, systemic inflammation, hyperadrenergic state, hemodynamic instability, hypoxia, acidosis, and proarrhythmic drugs. A higher incidence of VT/VF storm is observed in patients with comorbidities and those requiring critical care, with some studies reporting increased mortality. In our cohort, 1 of the 2 patients succumbed to the complications from COVID-19, and the other patient was discharged to home in stable condition. Monitoring of life-threatening arrhythmias in the setting of COVID-19 may need to be adopted to prevent morbidity and mortality.http://dx.doi.org/10.1155/2022/1157728 |
| spellingShingle | Muhammad H. Khan Obadah Aqtash David M. Harris Alexandru I. Costea Myron C. Gerson Ventricular Tachycardia or Fibrillation Storm in Coronavirus Disease Case Reports in Cardiology |
| title | Ventricular Tachycardia or Fibrillation Storm in Coronavirus Disease |
| title_full | Ventricular Tachycardia or Fibrillation Storm in Coronavirus Disease |
| title_fullStr | Ventricular Tachycardia or Fibrillation Storm in Coronavirus Disease |
| title_full_unstemmed | Ventricular Tachycardia or Fibrillation Storm in Coronavirus Disease |
| title_short | Ventricular Tachycardia or Fibrillation Storm in Coronavirus Disease |
| title_sort | ventricular tachycardia or fibrillation storm in coronavirus disease |
| url | http://dx.doi.org/10.1155/2022/1157728 |
| work_keys_str_mv | AT muhammadhkhan ventriculartachycardiaorfibrillationstormincoronavirusdisease AT obadahaqtash ventriculartachycardiaorfibrillationstormincoronavirusdisease AT davidmharris ventriculartachycardiaorfibrillationstormincoronavirusdisease AT alexandruicostea ventriculartachycardiaorfibrillationstormincoronavirusdisease AT myroncgerson ventriculartachycardiaorfibrillationstormincoronavirusdisease |