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Article

Emergence of Atrial Fibrillation and Flutter in COVID-19 Patients: A Retrospective Cohort Study

by
Tanzim Bhuiya
1,
Paras P. Shah
2,
Wing Hang Lau
3,
Timothy Park
3,
Rezwan F. Munshi
3,
Ofek Hai
3,
Roman Zeltser
3,4 and
Amgad N. Makaryus
3,4,*
1
Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 191104, USA
2
Department of Internal Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA
3
Department of Cardiology, Nassau University Medical Center, East Meadow, NY 11554, USA
4
Department of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA
*
Author to whom correspondence should be addressed.
Healthcare 2024, 12(17), 1682; https://doi.org/10.3390/healthcare12171682
Submission received: 30 July 2024 / Revised: 20 August 2024 / Accepted: 20 August 2024 / Published: 23 August 2024
(This article belongs to the Special Issue From Heart to Brain: Innovations in Cardiovascular and Stroke Research)
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Abstract

COVID-19 is associated with various cardiovascular complications, including arrhythmias. This study investigated the incidence of new-onset atrial fibrillation (AFB) and atrial flutter (AFL) in COVID-19 patients and identified potential risk factors. We conducted a retrospective cohort study at a tertiary-care safety-net community hospital including 647 patients diagnosed with COVID-19 from March 2020 to March 2021. Patients with a prior history of AFB or AFL were excluded. Data on demographics, clinical characteristics, and outcomes were collected and analyzed using chi-square tests, t-tests, and binary logistic regression. We found that 69 patients (10.66%) developed AFB or AFL, with 41 patients (6.34%) experiencing new-onset arrhythmias. The incidence rates for new-onset AFB and AFL were 5.4% and 0.9%, respectively. Older age (≥65 years) was significantly associated with new-onset AFB/AFL (OR: 5.43; 95% CI: 2.31–12.77; p < 0.001), as was the development of sepsis (OR: 2.73; 95% CI: 1.31–5.70; p = 0.008). No significant association was found with patient sex. Our findings indicate that new-onset atrial arrhythmias are a significant complication in COVID-19 patients, particularly among the elderly and those with sepsis. This highlights the need for targeted monitoring and management strategies to mitigate the burden of atrial arrhythmias in high-risk populations during COVID-19 infection.
Keywords: COVID-19; atrial fibrillation; atrial flutter; sepsis; elderly; arrhythmias COVID-19; atrial fibrillation; atrial flutter; sepsis; elderly; arrhythmias

Share and Cite

MDPI and ACS Style

Bhuiya, T.; Shah, P.P.; Lau, W.H.; Park, T.; Munshi, R.F.; Hai, O.; Zeltser, R.; Makaryus, A.N. Emergence of Atrial Fibrillation and Flutter in COVID-19 Patients: A Retrospective Cohort Study. Healthcare 2024, 12, 1682. https://doi.org/10.3390/healthcare12171682

AMA Style

Bhuiya T, Shah PP, Lau WH, Park T, Munshi RF, Hai O, Zeltser R, Makaryus AN. Emergence of Atrial Fibrillation and Flutter in COVID-19 Patients: A Retrospective Cohort Study. Healthcare. 2024; 12(17):1682. https://doi.org/10.3390/healthcare12171682

Chicago/Turabian Style

Bhuiya, Tanzim, Paras P. Shah, Wing Hang Lau, Timothy Park, Rezwan F. Munshi, Ofek Hai, Roman Zeltser, and Amgad N. Makaryus. 2024. "Emergence of Atrial Fibrillation and Flutter in COVID-19 Patients: A Retrospective Cohort Study" Healthcare 12, no. 17: 1682. https://doi.org/10.3390/healthcare12171682

APA Style

Bhuiya, T., Shah, P. P., Lau, W. H., Park, T., Munshi, R. F., Hai, O., Zeltser, R., & Makaryus, A. N. (2024). Emergence of Atrial Fibrillation and Flutter in COVID-19 Patients: A Retrospective Cohort Study. Healthcare, 12(17), 1682. https://doi.org/10.3390/healthcare12171682

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