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Volume 11
Issue 4
10.3390/biomedicines11041146
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Case Report

Rhythm Disturbances in Post-Acute COVID-19 Syndrome in Young Men without Pre-Existing Known Cardiovascular Disease—A Case Series

by
Ciprian Ilie Rosca
1,
Horia Silviu Branea
2,
Abhinav Sharma
3,
Violeta Ariana Nicoras
4,
Claudia Borza
5,
Daniel Florin Lighezan
1,*,
Stelian I. Morariu
4,* and
Nilima Rajpal Kundnani
3
1
Center of Advanced Research in Cardiovascular Pathology and Haemostasis, Department of Internal Medicine I—Medical Semiotics I, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
2
Department of Internal Medicine I—Medical Semiotics II, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
3
Department of Cardiology—Internal Medicine and Ambulatory Care, Prevention and Cardiovascular Recovery, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
4
General Medicine Faculty, “Vasile Goldis” West University, 473223 Arad, Romania
5
Center for Translational Research and Systems Medicine, Department of Pathophysiology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
*
Authors to whom correspondence should be addressed.
Biomedicines 2023, 11(4), 1146; https://doi.org/10.3390/biomedicines11041146
Submission received: 14 February 2023 / Revised: 24 March 2023 / Accepted: 3 April 2023 / Published: 11 April 2023
(This article belongs to the Special Issue Cardiovascular Health in COVID-19: Pathophysiology and Therapeutic Perspective)
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Abstract

Current data indicate the existence of post-acute COVID-19 syndrome frequently expressing as cardiovascular and respiratory health issues. The long-term evolution of these complications is not yet fully known or predictable. Among the most common clinical manifestations of post-acute COVID-19 syndrome are dyspnea, palpitations, and fatigue, in most cases being transient and without underlying any morphological or functional changes. A single-center retrospective observational study was performed on cases that had presented with new-onset cardiac symptoms post-COVID-19 infection. Records of three male patients without pre-existing chronic cardiovascular pathology who had presented for dyspnea, fatigue, and palpitations around four weeks post-COVID-19 acute phase were studied in detail. The three post-COVID-19 cases exhibited arrhythmic complications after completely healing from the acute phase of the infection. Palpitations, along with chest pain, and possible aggravation or appearance of dyspnea, with syncopal episodes, were found to be present. All the three cases were non-vaccinated against COVID-19 infection. Isolated case reports showing arrhythmic complications such as atrial fibrillation and ventricular tachycardia on a small number of patients with these complications indicate the need for arrhythmic evaluation of large groups of patients in the post-acute stage of the COVID-19 syndrome for a better understanding of the phenomenon and implicitly better care of these patients. It would also be useful to evaluate large groups of patients divided into vaccinated/non-vaccinated against COVID-19 categories to determine whether vaccination per se can provide protection in the occurrence of these types of complications.
Keywords: COVID-19; post-acute COVID-19 syndrome; cardiovascular changes in post-acute COVID-19 syndrome; non-sustained ventricular tachycardia; paroxysmal atrial fibrillation COVID-19; post-acute COVID-19 syndrome; cardiovascular changes in post-acute COVID-19 syndrome; non-sustained ventricular tachycardia; paroxysmal atrial fibrillation

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MDPI and ACS Style

Rosca, C.I.; Branea, H.S.; Sharma, A.; Nicoras, V.A.; Borza, C.; Lighezan, D.F.; Morariu, S.I.; Kundnani, N.R. Rhythm Disturbances in Post-Acute COVID-19 Syndrome in Young Men without Pre-Existing Known Cardiovascular Disease—A Case Series. Biomedicines 2023, 11, 1146. https://doi.org/10.3390/biomedicines11041146

AMA Style

Rosca CI, Branea HS, Sharma A, Nicoras VA, Borza C, Lighezan DF, Morariu SI, Kundnani NR. Rhythm Disturbances in Post-Acute COVID-19 Syndrome in Young Men without Pre-Existing Known Cardiovascular Disease—A Case Series. Biomedicines. 2023; 11(4):1146. https://doi.org/10.3390/biomedicines11041146

Chicago/Turabian Style

Rosca, Ciprian Ilie, Horia Silviu Branea, Abhinav Sharma, Violeta Ariana Nicoras, Claudia Borza, Daniel Florin Lighezan, Stelian I. Morariu, and Nilima Rajpal Kundnani. 2023. "Rhythm Disturbances in Post-Acute COVID-19 Syndrome in Young Men without Pre-Existing Known Cardiovascular Disease—A Case Series" Biomedicines 11, no. 4: 1146. https://doi.org/10.3390/biomedicines11041146

APA Style

Rosca, C. I., Branea, H. S., Sharma, A., Nicoras, V. A., Borza, C., Lighezan, D. F., Morariu, S. I., & Kundnani, N. R. (2023). Rhythm Disturbances in Post-Acute COVID-19 Syndrome in Young Men without Pre-Existing Known Cardiovascular Disease—A Case Series. Biomedicines, 11(4), 1146. https://doi.org/10.3390/biomedicines11041146

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