Demographics | Clinical symptoms | Signs | Diagnostic tests | Treatment and prognosis | Prognosis | References |
---|---|---|---|---|---|---|
66-year-old female | COVID-19 patient presented with tachycardia and palpitations on the 6th day of admission | HR: 175 bpm |
EKG: Irregularly irregular rhythm with absence of P waves AF with RVR Echo: Preserved ventricular fraction with no other abnormality |
IV Metroprolol, IV diltiazem and Carvedilol 30 mg every 6 h | Restoration of sinus rhythm with clinical recovery | [50] |
84-year-old male | Shortness of breath, fever and generalized weakness |
BP 136/75 O2 sat 99% Temp 36.8C HR ~ 68 RR ~ 23 |
EKG: Atrial flutter with varied AV block Chest CT: no pulmonary embolism Echo: normal LV and RV function and size, mild TR and mild atrial enlargement |
IV dexamethasone and oral anticoagulation | Restoration of sinus rhythm with clinical recovery | [60] |
29-year-old male | Fever, chills, sweats, palpitations, and shortness of breath |
BP 127/72 O2 sat 91% Temp 38.05 C HR ~ 131 RR ~ 28 |
EKG: Irregularly irregular RR interval, no distinct P waves Chest CT: no pulmonary embolism Echo: Mildly dilated LV, severe global LV dysfunction, moderate RV hypokinesis, severe LA enlargement |
IV Cardizem, Metrprolol and flecainide and oral anticoagulation with Eliquis | Restoration of sinus rhythm with clinical recovery | [60] |
46-year-old black male | Fever, cough and shortness of breath |
SBP 140 O2 sat 88% HR ~ 142 RR ~ 28 |
EKG: Atrial flutter, 2:1 AV block and ST-T changes Echo: preserved LV ejection fraction, no regional wall motion abnormalities |
Amiodarone, digoxin bolus, -blockers, cardioversion 100 J and oral anticoagulation | Restoration of sinus rhythm with clinical recovery | [61] |
59-year-old male | Palpitations, exertional dyspnea and fatigue |
BP 134/90 O2 sat 96% Temp 37.3 C HR ~ 136 RR ~ 16 |
EKG: Atrial fibrillation with PR 134 bpm and abnormal R wave progression Chest CT: unremarkable Echo: moderate LV hypertrophy, LV ejection fraction 60%. Normal LV and LA size |
IV followed by oral Diltiazem and cardioversion | Restoration of sinus rhythm with clinical recovery | [62] |
56-year-old Hispanic male | Malaise and palpitations. Presented to the urgent care previously with fever, chills, night sweats, headaches and palpitations |
BP 124/100 O2 sat normal Temp 38.8 C HR ~ 130–140 RR ~ 16 |
EKG: Atrial fibrillation with PR 131 bpm along with evidence of LV hypertrophy | IV Diltiazem and fluid bolus | Restoration of sinus rhythm with clinical recovery | [62] |