Holter study for post covid syndrome patients presented by palpitation

Authors

1 Department of cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

2 Department of Cardiology, National Heart Institute, Cairo, Egypt.

3 Department of cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Abstract

Background: Post covid syndrome is described as persistent symptoms for several weeks after recovery from acute infection. Aim of the study was to correlate the palpitation with Holter monitoring findings. Subject & Techniques: This research was happened at National Heart Institute in the period between February 2022 and August 2022. The study included 50 post covid syndrome patients and 48 symptomatic patients who have not infected by Covid 19 virus (control group). Results: Supra-ventricular ectopic burden was abnormal in 2(4%) patients in post Covid group and in 1(2.1%) patient in control group and was normal in 48(96%) patients in post Covid group and in 47 (97.9%) patients in control group (P value=1.00). Total supraventricular ectopic had been greater in post Covid group compared to control group (P value=0.002). Ventricular ectopic burden was abnormal in 1(2%) patient in post Covid group and in 1(2.1%) patient in control group and was normal in 49(98%) patients in post Covid group and in 47(97.9%) patients in control group (Pvalue+1.00). Total ventricular ectopic beats were lower in post Covid group compared to control group (Pvalue=0.011). Supra ventricular bigeminy, trigeminy and Ventricular bigeminy were insignificantly different between both groups. Ventricular trigeminy was significantly lower in post Covid group compared to control group (Pvalue=0.045). Conclusion: findings of research have demonstrated palpitation as a common symptom in survivors of COVID-19 after discharge. Our study did not find evidence of malignant or sustained arrhythmia. Palpitation was common corresponding to sinus rhythm tachycardia or non-malignant arrhythmia like PACs or PVCs.

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