Atrial fibrillation: a risk factor for unfavourable outcome in COVID-19? A case report
Abstract Background Fulminant cardiac involvement in COVID-19 patients has been reported; the underlying suspected mechanisms include myocarditis, arrhythmia, and cardiac tamponade. In parallel, atrial fibrillation is common in the elderly population which is at particularly high risk for COVID-19 m...
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Veröffentlicht in: | European heart journal : case reports 2020-10, Vol.4 (FI1), p.1-6 |
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creator | Schnaubelt, Sebastian Breyer, Marie-Kathrin Siller-Matula, Jolanta Domanovits, Hans |
description | Abstract
Background
Fulminant cardiac involvement in COVID-19 patients has been reported; the underlying suspected mechanisms include myocarditis, arrhythmia, and cardiac tamponade. In parallel, atrial fibrillation is common in the elderly population which is at particularly high risk for COVID-19 morbidity and mortality.
Case summary
A 72-year-old male SARS-CoV2-positive patient was admitted to the intensive care unit due to delirium and acute respiratory failure. Atrial fibrillation known from history was exacerbated, and made complex rate and rhythm control necessary. Progressive heart failure with haemodynamic deterioration and acute kidney injury with the need for continuous renal replacement therapy were further aggravated by pericardial tamponade.
Discussion
Treatment of acute heart failure in COVID-19 patients with a cytokine storm complicated by tachycardic atrial fibrillation should include adequate rate or rhythm control, and potentially immunomodulation. |
doi_str_mv | 10.1093/ehjcr/ytaa166 |
format | Article |
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Background
Fulminant cardiac involvement in COVID-19 patients has been reported; the underlying suspected mechanisms include myocarditis, arrhythmia, and cardiac tamponade. In parallel, atrial fibrillation is common in the elderly population which is at particularly high risk for COVID-19 morbidity and mortality.
Case summary
A 72-year-old male SARS-CoV2-positive patient was admitted to the intensive care unit due to delirium and acute respiratory failure. Atrial fibrillation known from history was exacerbated, and made complex rate and rhythm control necessary. Progressive heart failure with haemodynamic deterioration and acute kidney injury with the need for continuous renal replacement therapy were further aggravated by pericardial tamponade.
Discussion
Treatment of acute heart failure in COVID-19 patients with a cytokine storm complicated by tachycardic atrial fibrillation should include adequate rate or rhythm control, and potentially immunomodulation.</description><identifier>ISSN: 2514-2119</identifier><identifier>EISSN: 2514-2119</identifier><identifier>DOI: 10.1093/ehjcr/ytaa166</identifier><identifier>PMID: 33089045</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Case Reports</subject><ispartof>European heart journal : case reports, 2020-10, Vol.4 (FI1), p.1-6</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-f6935f43891162ecfc497392b485d8f2115baec0cad9a7b7a9887cf9b946770f3</citedby><cites>FETCH-LOGICAL-c387t-f6935f43891162ecfc497392b485d8f2115baec0cad9a7b7a9887cf9b946770f3</cites><orcidid>0000-0001-6041-1635 ; 0000-0003-0057-8200 ; 0000-0003-2086-8483</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337643/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337643/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1598,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33089045$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schnaubelt, Sebastian</creatorcontrib><creatorcontrib>Breyer, Marie-Kathrin</creatorcontrib><creatorcontrib>Siller-Matula, Jolanta</creatorcontrib><creatorcontrib>Domanovits, Hans</creatorcontrib><title>Atrial fibrillation: a risk factor for unfavourable outcome in COVID-19? A case report</title><title>European heart journal : case reports</title><addtitle>Eur Heart J Case Rep</addtitle><description>Abstract
Background
Fulminant cardiac involvement in COVID-19 patients has been reported; the underlying suspected mechanisms include myocarditis, arrhythmia, and cardiac tamponade. In parallel, atrial fibrillation is common in the elderly population which is at particularly high risk for COVID-19 morbidity and mortality.
Case summary
A 72-year-old male SARS-CoV2-positive patient was admitted to the intensive care unit due to delirium and acute respiratory failure. Atrial fibrillation known from history was exacerbated, and made complex rate and rhythm control necessary. Progressive heart failure with haemodynamic deterioration and acute kidney injury with the need for continuous renal replacement therapy were further aggravated by pericardial tamponade.
Discussion
Treatment of acute heart failure in COVID-19 patients with a cytokine storm complicated by tachycardic atrial fibrillation should include adequate rate or rhythm control, and potentially immunomodulation.</description><subject>Case Reports</subject><issn>2514-2119</issn><issn>2514-2119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNqFkD1PwzAQhi0EolXpyIo8soTacRLHDKCqfFWq1AW6WhfXpi5pHDlOpf57Ai2oTAzWWbrn3js9CF1SckOJYCO9Wis_2gUAmmUnqB-nNIliSsXp0b-Hhk2zJoTEhImMs3PUY4zkgiRpHy3GwVsosbGFt2UJwbrqFgP2tvnABlRwHpvutZWBrWs9FKXGrg3KbTS2FZ7MF9OHiIp7PMYKGo29rp0PF-jMQNno4aEO0NvT4-vkJZrNn6eT8SxSLOchMplgqUlYLijNYq2MSgRnIi6SPF3mprs-LUAromApgBccRJ5zZUQhkoxzYtgA3e1z67bY6KXSVfBQytrbDfiddGDl305lV_LdbSVnjGcJ6wKifYDyrmm8Nr-zlMgvx_LbsTw47vir44W_9I_RDrjeA66t_8n6BEP2iCw</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Schnaubelt, Sebastian</creator><creator>Breyer, Marie-Kathrin</creator><creator>Siller-Matula, Jolanta</creator><creator>Domanovits, Hans</creator><general>Oxford University Press</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6041-1635</orcidid><orcidid>https://orcid.org/0000-0003-0057-8200</orcidid><orcidid>https://orcid.org/0000-0003-2086-8483</orcidid></search><sort><creationdate>20201001</creationdate><title>Atrial fibrillation: a risk factor for unfavourable outcome in COVID-19? A case report</title><author>Schnaubelt, Sebastian ; Breyer, Marie-Kathrin ; Siller-Matula, Jolanta ; Domanovits, Hans</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-f6935f43891162ecfc497392b485d8f2115baec0cad9a7b7a9887cf9b946770f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Case Reports</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schnaubelt, Sebastian</creatorcontrib><creatorcontrib>Breyer, Marie-Kathrin</creatorcontrib><creatorcontrib>Siller-Matula, Jolanta</creatorcontrib><creatorcontrib>Domanovits, Hans</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European heart journal : case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schnaubelt, Sebastian</au><au>Breyer, Marie-Kathrin</au><au>Siller-Matula, Jolanta</au><au>Domanovits, Hans</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrial fibrillation: a risk factor for unfavourable outcome in COVID-19? A case report</atitle><jtitle>European heart journal : case reports</jtitle><addtitle>Eur Heart J Case Rep</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>4</volume><issue>FI1</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>2514-2119</issn><eissn>2514-2119</eissn><abstract>Abstract
Background
Fulminant cardiac involvement in COVID-19 patients has been reported; the underlying suspected mechanisms include myocarditis, arrhythmia, and cardiac tamponade. In parallel, atrial fibrillation is common in the elderly population which is at particularly high risk for COVID-19 morbidity and mortality.
Case summary
A 72-year-old male SARS-CoV2-positive patient was admitted to the intensive care unit due to delirium and acute respiratory failure. Atrial fibrillation known from history was exacerbated, and made complex rate and rhythm control necessary. Progressive heart failure with haemodynamic deterioration and acute kidney injury with the need for continuous renal replacement therapy were further aggravated by pericardial tamponade.
Discussion
Treatment of acute heart failure in COVID-19 patients with a cytokine storm complicated by tachycardic atrial fibrillation should include adequate rate or rhythm control, and potentially immunomodulation.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>33089045</pmid><doi>10.1093/ehjcr/ytaa166</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6041-1635</orcidid><orcidid>https://orcid.org/0000-0003-0057-8200</orcidid><orcidid>https://orcid.org/0000-0003-2086-8483</orcidid><oa>free_for_read</oa></addata></record> |
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language | eng |
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source | Oxford Journals Open Access Collection; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
subjects | Case Reports |
title | Atrial fibrillation: a risk factor for unfavourable outcome in COVID-19? A case report |
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