Polymorphic Ventricular Tachycardia Associated with Coronary Vasospasm in a Patient with Coronavirus Disease 2019 Infection

Intern Med. 2024 Oct 15;63(20):2815-2820. doi: 10.2169/internalmedicine.3400-23. Epub 2024 Aug 10.

Abstract

A 70-year-old man was admitted to our hospital for restoration of sinus rhythm from atrial fibrillation by direct current counter shocks. On admission, he had a coronavirus disease 2019 (COVID-19) infection and syncope during bed rest. Electrocardiography revealed polymorphic ventricular tachycardia after ST-segment elevation with a normal QT interval. Coronary angiography revealed coronary vasospasm. Coronary vasospasm may be a cause of polymorphic ventricular tachycardia in COVID-19 patients.

Keywords: arrythmia; infection; spasm.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Betacoronavirus
  • COVID-19* / complications
  • Coronary Angiography*
  • Coronary Vasospasm* / complications
  • Coronary Vasospasm* / diagnosis
  • Coronary Vasospasm* / diagnostic imaging
  • Coronavirus Infections / complications
  • Coronavirus Infections / diagnosis
  • Electrocardiography*
  • Humans
  • Male
  • Pandemics
  • Pneumonia, Viral / complications
  • Pneumonia, Viral / diagnosis
  • SARS-CoV-2*
  • Tachycardia, Ventricular* / diagnosis
  • Tachycardia, Ventricular* / etiology