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

被引：0

作者：

Viscusi, Michele Mattia ^{[1
]}

Ambrosio, Luca ^{[2
,3
]}

Ricciardi, Danilo ^{[1
]}

Mangiacapra, Fabio ^{[1
]}

Nusca, Annunziata ^{[1
]}

Paolucci, Luca ^{[1
]}

Ussia, Gian Paolo ^{[1
]}

Grigioni, Francesco ^{[1
]}

机构：

[1] Univ Campus Biomed Roma, Dept Med, Unit Cardiac Sci, Via Alvaro Portillo 21, I-00128 Rome, Italy

[2] Fdn Policlin Univ Campus Biomed, Operat Res Unit Orthopaed & Trauma Surg, Via Alvaro Portillo 200, I-00128 Rome, Italy

[3] Univ Campus Biomed Roma, Dept Med & Surg, Res Unit Orthopaed & Trauma Surg, Via Alvaro Portillo 21, I-00128 Rome, Italy

来源：

REPORTS | 2023年 / 6卷 / 01期

关键词：

COVID-19; SARS-CoV-2; atrial fibrillation; arrhythmia; nasopharyngeal swab; trigeminocardiac reflex; TRIGEMINOCARDIAC REFLEX;

D O I：

10.3390/reports6010015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

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