Atrial Flutter in Patient With Critical COVID-19: Beneficial Effects of Rhythm Control on Respiratory Distress

Matteo Bertini; Francesco Vitali; Michele Malagù; Claudio Rapezzi

doi:10.1016/j.jaccas.2020.11.015

Atrial Flutter in Patient With Critical COVID-19: Beneficial Effects of Rhythm Control on Respiratory Distress

JACC Case Rep. 2021 Jan;3(1):162-164. doi: 10.1016/j.jaccas.2020.11.015. Epub 2021 Jan 6.

Authors

Matteo Bertini¹, Francesco Vitali¹, Michele Malagù¹, Claudio Rapezzi^{1

2}

Affiliations

¹ Cardiological Center, University of Ferrara, S. Anna Hospital, Ferrara, Italy.
² Maria Cecilia Hospital, Gruppo Villa Maria Care & Research, Cotignola, Italy.

Abstract

We report the case of a patient critically ill with coronavirus disease-2019 (COVID-19) in which atrial flutter with high ventricular response rate occurred, contributing to worsening of the respiratory distress. After failure of noninvasive rate and rhythm control strategies, successful transcatheter ablation was performed and the respiratory distress of the patient improved. (Level of Difficulty: Beginner.).

Keywords: COVID-19, coronavirus disease-2019; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; atrial flutter; cavo-tricuspid isthmus ablation; coronavirus disease-2019; severe acute respiratory syndrome-coronavirus-2.