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Journal of Case Reports
Arrhythmia: An Uncommon Presentation of COVID-19
Zoe L Gordon, Jennifer A Somers, Kathleen Sausen, Patrick O’Neil, Rebecca Joseph
Greater Lawrence Family Health Center, Lawrence Family Medicine Residency, Lawrence General Hospital, 34 Haverhill St Lawrence MA 01841, United States.
Corresponding Author:
Dr. Jennifer A Somers
Email: Jennifer.somers@glfhc.org
Received: 26-AUG-2020 Accepted: 23-DEC-2020 Published Online: 20-FEB-2021
DOI: http://dx.doi.org/10.17659/01.2021.0010
Background: Covid-19 is considered primarily a respiratory virus, but recent case reports indicate multiple other systems can be affected. Case Report: In this case series we describe three patients who presented with syncope and palpitations and were found to have three distinct arrhythmias: complete heart block, atrial fibrillation, and ventricular trigeminy, without elevation of cardiac biomarkers. This has implications for the evaluation of cardiac arrhythmias in the hospital setting, as arrhythmia is not often thought to be the presenting symptom of a viral infection. Conclusion: These cases underscore the need for a high level of suspicion for COVID-19 in patients presenting with cardiac symptoms.  More studies are warranted describing the effects of the virus on the cardiac system. 
Keywords : Cardiac, Arrhythmias, COVID-19, Heart, Syncope, Virus Diseases.
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