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. 2023 Apr 30;75:36. doi: 10.1186/s43044-023-00359-0
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]