Paroxysmal Atrial Fibrillation with Rapid Ventricular Response Following COVID-19 Nasopharyngeal Swab: A Case Report

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Reports (MDPI) Pub Date : 2023-03-15 DOI:10.3390/reports6010015
M. Viscusi, L. Ambrosio, D. Ricciardi, F. Mangiacapra, A. Nusca, Luca Paolucci, G. Ussia, F. Grigioni
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Abstract

Nasopharyngeal (NP) swab sampling is a simple procedure that has become extremely popular in the coronavirus disease 2019 (COVID-19) era, with hundreds of million specimens collected every day. However, rare but serious complications have been reported following NP swab acquisition. Here we present a case of paroxysmal atrial fibrillation associated with NP specimen collection in a healthy healthcare provider undergoing COVID-19 testing during departmental screening. This response may have been caused by an exaggerated vagal tone triggered by the trigeminocardiac reflex. Less invasive collection methods, such as saliva testing, may be warranted in predisposed individuals.
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COVID-19鼻咽拭子术后阵发性心房颤动伴快速心室反应1例报告
鼻咽拭子采样是一种简单的程序,在2019冠状病毒病(新冠肺炎)时代变得非常流行,每天采集数亿份样本。然而,NP拭子采集后出现了罕见但严重的并发症。在此,我们介绍了一例在一名健康医疗保健提供者中进行新冠肺炎部门筛查期间检测的与NP样本采集相关的发作性心房颤动病例。这种反应可能是由三叉神经反射触发的迷走神经张力过度引起的。唾液检测等侵入性较小的采集方法可能适用于易感人群。
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