心律失常和COVID-19感染

A. Chin, Jane Moses, A. Thornton
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引用次数: 1

摘要

心律失常可能是COVID-19感染的临床表现。COVID-19感染也可能是已知心律失常的诱因,这可能增加发病率和死亡率的风险。心律失常的管理一般应遵循心律失常管理的标准指南。在COVID-19大流行期间,导管消融应限于立即危及生命或可能在短期内影响预后的心律失常。一些新的治疗方法,如氯喹、羟氯喹和阿奇霉素,可以延长QT间期,使患者易患危及生命的心律失常。
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Arrhythmias and COVID-19 infection
Arrhythmias can be a clinical manifestation of COVID-19 infection. COVID-19 infection can also be a precipitant of known arrhythmias which can increase the risk of morbidity and mortality. Management of arrhythmias should generally follow standard guidelines of arrhythmia management. Catheter ablation in the midst of the COVID-19 pandemic should be limited to arrhythmias that are immediately life-threatening or which may affect prognosis in the short-term. Some novel treatments like chloroquine, hydroxychloroquine and azithromycin can prolong the QT interval and predispose patients to life-threatening arrhythmias.
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