Post-Covid19 arrhythmia? Wolf parkinson white syndrome case report

Post-Covid19 arrhythmia? Wolf parkinson white syndrome case report

Objective: The purpose of this case report is to emphasize the very rare association of COVID-19 with Wolf-Parkinson-White (WPW) syndrome and the emergency management of this clinical condition. Case presentation: A 30-year-old female patient with a diagnosis of COVID-19 applied to our emergency department on the 6th day with complaints of increasing fever, shortness of breath and tachycardia for two days. ECG showed sinus tachycardia, short PR interval and delta wave, which was consequent with WPW syndrome. Conclusion: With this case report, we emphasized that WPW should be considered in the differential diagnosis of patients with COVID-19 who applied to the emergency department with complaints such as tachycardia and shortness of breath, although it is rare.

___

  • Xu J, Yang X, Yang L, Zou X, Wang Y, Wu Y, et al. Clinical course and predictors of 60-day mortality in 239 critically ill patients with COVID-19: a multicenter retrospective study from Wuhan, China. Critical care (London, England). 2020;24(1):394.
  • Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. Jama. 2020;323(13):1239-42.
  • Yan L, Zhang H-T, Goncalves J, Xiao Y, Wang M, Guo Y, et al. A machine learning-based model for survival prediction in patients with severe COVID-19 infection. medRxiv; 2020.
  • Lai CC, Ko WC, Lee PI, Jean SS, Hsueh PR. Extra-respiratory manifestations of COVID-19. International journal of antimicrobial agents. 2020;56(2):106024.
  • Long B, Brady WJ, Koyfman A, Gottlieb M. Cardiovascular complications in COVID-19. The American journal of emergency medicine. 2020;38(7):1504-7.
  • Asadi-Pooya AA, Simani L. Central nervous system manifestations of COVID-19: A systematic review. Journal of the neurological sciences. 2020;413:116832.
  • Wolff L, Parkinson J, White PD. Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. 1930. Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc. 2006;11(4):340-53.
  • Cohen MI, Triedman JK, Cannon BC, Davis AM, Drago F, Janousek J, et al. PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a Wolff-Parkinson-White (WPW, ventricular preexcitation) electrocardiographic pattern: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), the American Academy of Pediatrics (AAP), and the Canadian Heart Rhythm Society (CHRS). Heart rhythm. 2012;9(6):1006-24.
  • Available from: https://www.uptodate.com/contents/wolff-parkinson-white-syndrome-anatomy-epidemiology-clinical-manifestations-and-diagnosis?search=wpw%20y%C3%B6netimi&source=search_result&selectedTitle=2~132&usage_type=default&display_rank=2#H29400384.
  • Chhabra L, Goyal A, Benham MD. Wolff Parkinson White Syndrome. StatPearls. Treasure Island (FL): StatPearls Publishing 2021, StatPearls Publishing LLC.; 2021.
  • Liu K, Fang YY, Deng Y, Liu W, Wang MF, Ma JP, et al. Clinical characteristics of novel coronavirus cases in tertiary hospitals in Hubei Province. Chinese medical journal. 2020;133(9):1025-31.
  • Rastogi A, Tewari P. Covid 19 and its cardiovascular effects. Annals of cardiac anaesthesia. 2020;23(4):401-8.
  • Clerkin KJ, Fried JA, Raikhelkar J, Sayer G, Griffin JM, Masoumi A, et al. COVID-19 and Cardiovascular Disease. Circulation. 2020;141(20):1648-55.
  • Chorin E, Dai M, Shulman E, Wadhwani L, Bar-Cohen R, Barbhaiya C, et al. The QT interval in patients with COVID-19 treated with hydroxychloroquine and azithromycin. Nature medicine. 2020;26(6):808-9.
  • Morgan ND, Patel SV, Dvorkina O. Suspected hydroxychloroquine-associated QT-interval prolongation in a patient with systemic lupus erythematosus. Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases. 2013;19(5):286-8.
  • Chen Q, Xu L, Dai Y, Ling Y, Mao J, Qian J, et al. Cardiovascular manifestations in severe and critical patients with COVID-19. Clinical cardiology. 2020;43(7):796-802.
  • Vetta F, Marinaccio L, Vetta G, Marchese D. Electrical storm in a patient with COVID-19 treated with hydroxychloroquine: A case report. SAGE open medical case reports. 2020;8:2050313x20974217.