| Autor: |
Rosca CI; 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., Branea HS; Department of Internal Medicine I-Medical Semiotics II, 'Victor Babes' University of Medicine and Pharmacy, 300041 Timisoara, Romania., Sharma A; Department of Cardiology-Internal Medicine and Ambulatory Care, Prevention and Cardiovascular Recovery, 'Victor Babes' University of Medicine and Pharmacy, 300041 Timisoara, Romania., Nicoras VA; General Medicine Faculty, 'Vasile Goldis' West University, 473223 Arad, Romania., Borza C; Center for Translational Research and Systems Medicine, Department of Pathophysiology, 'Victor Babes' University of Medicine and Pharmacy, 300041 Timisoara, Romania., Lighezan DF; 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., Morariu SI; General Medicine Faculty, 'Vasile Goldis' West University, 473223 Arad, Romania., Kundnani NR; Department of Cardiology-Internal Medicine and Ambulatory Care, Prevention and Cardiovascular Recovery, 'Victor Babes' University of Medicine and Pharmacy, 300041 Timisoara, Romania. |
| Abstrakt: |
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. |
