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Cardiac arrhythmias in critically ill patients with coronavirus disease 2019: A retrospective population-based cohort study.
Wetterslev, Mik; Jacobsen, Peter Karl; Hassager, Christian; Jøns, Christian; Risum, Niels; Pehrson, Steen; Bastiansen, Anders; Andreasen, Anne Sofie; Tjelle Kristiansen, Klaus; Bestle, Morten H; Mohr, Thomas; Møller-Sørensen, Hasse; Perner, Anders.
  • Wetterslev M; Department of Intensive Care, Rigshospitalet University of Copenhagen, Copenhagen, Denmark.
  • Jacobsen PK; Department of Cardiology, Rigshospitalet University of Copenhagen, Copenhagen, Denmark.
  • Hassager C; Department of Cardiology, Rigshospitalet University of Copenhagen, Copenhagen, Denmark.
  • Jøns C; Department of Cardiology, Rigshospitalet University of Copenhagen, Copenhagen, Denmark.
  • Risum N; Department of Cardiology, Rigshospitalet University of Copenhagen, Copenhagen, Denmark.
  • Pehrson S; Department of Cardiology, Rigshospitalet University of Copenhagen, Copenhagen, Denmark.
  • Bastiansen A; Department of Anaesthesia and Intensive Care, Bispebjerg Hospital and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
  • Andreasen AS; Department of Anaesthesia and Intensive Care, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark.
  • Tjelle Kristiansen K; Department of Anaesthesia and Intensive Care, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
  • Bestle MH; Department of Anaesthesia and Intensive Care, Nordsjaellands Hospital, University of Copenhagen, Copenhagen, Denmark.
  • Mohr T; Department of Anaesthesia and Intensive Care, Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
  • Møller-Sørensen H; Department of Cardiothoracic Anaesthesiology, Rigshospitalet University of Copenhagen, Copenhagen, Denmark.
  • Perner A; Department of Intensive Care, Rigshospitalet University of Copenhagen, Copenhagen, Denmark.
Acta Anaesthesiol Scand ; 65(6): 770-777, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-1105177
ABSTRACT

BACKGROUND:

Coronavirus disease 2019 (COVID-19) may be associated with cardiac arrhythmias in hospitalized patients, but data from the ICU setting are limited. We aimed to describe the epidemiology of cardiac arrhythmias in ICU patients with COVID-19.

METHODS:

We conducted a multicenter, retrospective cohort study including all ICU patients with an airway sample positive for severe acute respiratory syndrome corona-virus 2 from March 1st to June 1st in the Capital Region of Denmark (1.8 million inhabitants). We registered cardiac arrhythmias in ICU, potential risk factors, interventions used in ICU and outcomes.

RESULTS:

From the seven ICUs we included 155 patients with COVID-19. The incidence of cardiac arrhythmias in the ICU was 57/155 (37%, 95% confidence interval 30-45), and 39/57 (68%) of these patients had this as new-onset arrhythmia. Previous history of tachyarrhythmias and higher disease severity at ICU admission were associated with cardiac arrhythmias in the adjusted analysis. Fifty-four of the 57 (95%) patients had supraventricular origin of the arrhythmia, 39/57 (68%) received at least one intervention against arrhythmia (eg amiodarone, IV fluid or magnesium) and 38/57 (67%) had recurrent episodes of arrhythmia in ICU. Patients with arrhythmias in ICU had higher 60-day mortality (63%) as compared to those without arrhythmias (39%).

CONCLUSION:

New-onset supraventricular arrhythmias were frequent in ICU patients with COVID-19 and were related to previous history of tachyarrhythmias and severity of the acute disease. The mortality was high in these patients despite the frequent use of interventions against arrhythmias.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Arrhythmias, Cardiac / Critical Illness / SARS-CoV-2 / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Acta Anaesthesiol Scand Year: 2021 Document Type: Article Affiliation country: Aas.13806

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Arrhythmias, Cardiac / Critical Illness / SARS-CoV-2 / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Acta Anaesthesiol Scand Year: 2021 Document Type: Article Affiliation country: Aas.13806