A 22 year old female presents to ED with palpitations and chest discomfort 2 weeks post contracting COVID19. Below is the patients ECG:
Describe and Interpret the ECG
Mean Ventricular rate: 66 beats per minute
Bigeminy – sinus complexes followed by PVC – 1:1 relationship
Intervals – sinus complexes
V1- V2 slight ST elevation (native rhythm)
Appropriate discordance of the QRS and ST segments of the PVC’s
COVID19 can affect the heart in a number of ways, including:
- Myocarditis, pericarditis and cardiomyopathy
- Congestive heart failure
Cardiac effects can persist for some weeks post infection. Therefore, in this case it would still be important to exclude peri myocarditis.
Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.