4.7 Article

Inappropriate sinus tachycardia in post-COVID-19 syndrome

Journal

SCIENTIFIC REPORTS
Volume 12, Issue 1, Pages -

Publisher

NATURE PORTFOLIO
DOI: 10.1038/s41598-021-03831-6

Keywords

-

Ask authors/readers for more resources

Inappropriate sinus tachycardia (IST) is prevalent among patients with post-COVID-19 syndrome (PCS), and it may be explained by an imbalance in the cardiac autonomic nervous system and decreased parasympathetic activity.
Inappropriate sinus tachycardia (IST) is a common observation in patients with post-COVID-19 syndrome (PCS) but has not yet been fully described to date. To investigate the prevalence and the mechanisms underlying IST in a prospective population of PCS patients. Consecutive patients admitted to the PCS Unit between June and December 2020 with a resting sinus rhythm rate >= 100 bpm were prospectively enrolled in this study and further examined by an orthostatic test, 2D echocardiography, 24-h ECG monitoring (heart rate variability was a surrogate for cardiac autonomic activity), quality-of-life and exercise capacity testing, and blood sampling. To assess cardiac autonomic function, a 2:1:1 comparative sub-analysis was conducted against both fully recovered patients with previous SARS-CoV-2 infection and individuals without prior SARS-CoV-2 infection. Among 200 PCS patients, 40 (20%) fulfilled the diagnostic criteria for IST (average age of 40.1 +/- 10 years, 85% women, 83% mild COVID-19). No underlying structural heart disease, pro-inflammatory state, myocyte injury, or hypoxia were identified. IST was accompanied by a decrease in most heart rate variability parameters, especially those related to cardiovagal tone: pNN50 (cases 3.2 +/- 3 vs. recovered 10.5 +/- 8 vs. non-infected 17.3 +/- 10; p<0.001) and HF band (246179 vs. 463 +/- 295 vs. 1048 +/- 570, respectively; p<0.001). IST is prevalent condition among PCS patients. Cardiac autonomic nervous system imbalance with decreased parasympathetic activity may explain this phenomenon.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Cardiac & Cardiovascular Systems

Management of heart failure with preserved ejection fraction: from neurohormonal antagonists to empagliflozin

Alberto Aimo, Michele Senni, Andrea Barison, Giorgia Panichella, Claudio Passino, Antoni Bayes-Genis, Michele Emdin

Summary: HFpEF is a syndrome with multifaceted pathophysiology and clinical heterogeneity, which calls for personalized approaches in treatment. The recent discovery of SGLT2i therapy provides new perspectives on reducing the risk of death or hospitalization for patients with HFpEF.

HEART FAILURE REVIEWS (2023)

Letter Cardiac & Cardiovascular Systems

Potential role of empagliflozin in myocardial iron repletion following ferric carboxymaltose for heart failure

Miguel Lorenzo, Rafael de la Espriella, Ingrid Cardells, Joso Luis Gorriz, Antoni Bayes-Genis, Julio Nunez

REVISTA ESPANOLA DE CARDIOLOGIA (2023)

Article Cardiac & Cardiovascular Systems

New-onset persistent left bundle branch block following sutureless aortic valve replacement

Victoria Vilalta, German Cediel, Siamak Mohammadi, Helena Lopez, Dimitri Kalavrouziotis, Helena Resta, Eric Dumont, Pierre Voisine, Francois Philippon, Claudia Escabia, Andrea Borrellas, Alberto Alperi, Eduard Fernandez-Nofrerias, Xavier Carrillo, Vassili Panagides, Antoni Bayes-Genis, Josep Rodes-Cabau

Summary: This study evaluated the incidence, predictive factors, and prognostic value of new-onset persistent left bundle branch block (NOP-LBBB) in patients undergoing sutureless surgical aortic valve replacement (SU-SAVR). The results showed that NOP-LBBB occurred in approximately a quarter of the patients and was associated with a decrease in left ventricular ejection fraction (LVEF) and an increased risk of permanent pacemaker implantation (PPI).

HEART (2023)

Article Cardiac & Cardiovascular Systems

Inefficient diastolic filling in dual-chamber pacemaker recipients: impact of atrio-ventricular interval shortening (AVI-SHORT study)

Damia Pereferrer, Axel Sarrias, Raquel Adelino, Felipe Bisbal, Julia Aranyo, Nuria Vallejo, Roger Villuendas, Antoni Bayes-Genis, Victor Bazan

Summary: This study aimed to determine the prevalence of E/a superposition in dual-chamber pacemaker patients and investigate the impact of AVI shortening on clinical, echocardiographic, and biological measures. The results showed that approximately half of the patients experienced E/a superposition, which was associated with reduced left ventricular function and increased myocardial injury biomarkers. Shortening the AVI had a modest but significant effect on functional capacity and quality of life.

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY (2023)

Article Immunology

Immunological and virological findings in a patient with exceptional post-treatment control: a case report

Nuria Climent, Juan Ambrosioni, Tania Gonzalez, Cristina Xufre, Maria Casadella, Marc Noguera-Julian, Roger Paredes, Montserrat Plana, Judith Grau-Exposito, Josep Mallolas, Jose Alcami, Sonsoles Sanchez-Palomino, Jose M. Miro

Summary: This study reports a case of a highly controlled HIV infection individual who maintained undetectable viral loads for 15 years after stopping antiretroviral therapy. The researchers found that the high activity of NK cells and CD8 T cells were associated with the control of viral replication.

LANCET HIV (2023)

Article Immunology

Evaluating the Accuracy of Self-Collected Swabs for the Diagnosis of Monkeypox

Maria Ubals, Eloy Jose Tarin-Vicente, Xenia Oller, Adria Mendoza, Andrea Alemany, Agueda Hernandez-Rodriguez, Cristina Casan, Angel Rivero, Pep Coll, Jose Miguel Cabrera, Marti Vall, Manuel Agud-Dios, Elena Gil-Cruz, Alexia Paris de Leon, Aida Ramirez, Maria Dolores Folgueira, Maria Angeles Melendez, Vira Buhiichyk, Cristina Galvan-Casas, Roger Paredes, Nuria Prat, Maria-Rosa Sala Farre, Josep Maria Bonet-Simo, Pablo L. Ortiz-Romero, Bonaventura Clotet, Pere-Joan Cardona, Ignacio Blanco, Michael Marks, Clara Suner, Oriol Mitja, Movie Group

Summary: The accuracy of self-collected samples for diagnosing monkeypox was evaluated in a study of 50 individuals. Results showed that self-sampling performed similarly to physician-collected samples, suggesting it as a reliable strategy for diagnosis.

CLINICAL INFECTIOUS DISEASES (2023)

Editorial Material Cardiac & Cardiovascular Systems

Patient phenotype profiling in heart failure with preserved ejection fraction to guide therapeutic decision making. A scientific statement of the Heart Failure Association and the European Heart Rhythm Association of the European Society of Cardiology, and the European Society of Hypertension

Stefan D. Anker, Muhammad Shariq Usman, Markus S. Anker, Javed Butler, Michael Boehm, William T. Abraham, Marianna Adamo, Vijay K. Chopra, Mariantonietta Cicoira, Francesco Cosentino, Gerasimos Filippatos, Ewa A. Jankowska, Lars H. Lund, Brenda Moura, Wilfried Mullens, Burkert Pieske, Piotr Ponikowski, Jose R. Gonzalez-Juanatey, Amina Rakisheva, Gianluigi Savarese, Petar Seferovic, John R. Teerlink, Carsten Tschoepe, Maurizio Volterrani, Stephan von Haehling, Jian Zhang, Yuhui Zhang, Johann Bauersachs, Ulf Landmesser, Shelley Zieroth, Konstantinos Tsioufis, Antoni Bayes-Genis, Ovidiu Chioncel, Felicita Andreotti, Enrico Agabiti-Rosei, Jose L. Merino, Marco Metra, Andrew J. S. Coats, Giuseppe M. C. Rosano

Summary: HFpEF is a highly heterogeneous clinical syndrome influenced by many comorbidities in its development and progression. Left ventricular diastolic dysfunction may result from various cardiovascular, metabolic, pulmonary, renal, and geriatric conditions. Therefore, individualized treatment tailored to each patient's clinical profile may be the most effective approach to improve clinical outcomes. In this joint position paper, the Heart Failure Association of the European Society of Cardiology, the European Heart Rhythm Association, and the European Hypertension Society have developed an algorithm to identify the most common HFpEF phenotypes and recommend evidence-based treatment strategies for each, considering the complexities of multiple comorbidities and polypharmacy.

EUROPEAN JOURNAL OF HEART FAILURE (2023)

Article Cardiac & Cardiovascular Systems

Safety, usability, and performance of a wireless left atrial pressure monitoring system in patients with heart failure: the VECTOR-HF trial

Domenico D'Amario, David Meerkin, Attilio Restivo, Hueseyin Ince, Horst Sievert, Andrea Wiese, Ulrich Schaefer, Carlo Trani, Antoni Bayes-Genis, Francisco I. Leyva, Zachary Whinnett, Carlo Di Mario, Michael Jonas, Habib J. Manhal, Ignacio Amat-Santos, Maria Del Trigo, Tuvia Ben Gal, Binyamin Ben Avraham, Tal Hasin, Sebastian Feickert, Giuseppe D'Ancona, Omar Abdul-Jawad Altisent, Oran Koren, Oren T. Caspi, William Abraham, Filippo D. Crea, Stefan Anker, Ran Kornowski, Leor Perl

Summary: The study evaluated a novel left atrial pressure (LAP) monitoring system in heart failure patients and found that it was safe and provided a good correlation with invasive pulmonary capillary wedge pressure (PCWP). Initial evidence also suggests possible improvement in heart failure clinical symptoms.

EUROPEAN JOURNAL OF HEART FAILURE (2023)

Letter Cardiac & Cardiovascular Systems

REPLY: Circulating Vegetable Omega-3 and Prognosis in Patients With Heart Failure

Iolanda Lazaro, Josep Lupon, German Cediel, Aleix Sala-Vila, Antoni Bayes-Genis

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2023)

Article Biochemistry & Molecular Biology

Fatty Acid Binding Proteins 3 and 4 Predict Both All-Cause and Cardiovascular Mortality in Subjects with Chronic Heart Failure and Type 2 Diabetes Mellitus

Ricardo Rodriguez-Calvo, Minerva Granado-Casas, Alejandra Perez-Montes de Oca, Maria Teresa Julian, Mar Domingo, Pau Codina, Evelyn Santiago-Vacas, German Cediel, Josep Julve, Joana Rossell, Lluis Masana, Didac Mauricio, Josep Lupon, Antoni Bayes-Genis, Nuria Alonso

Summary: This study aimed to explore the prognostic value of cardiac-specific fatty acid binding proteins (FABP3) and adipose-tissue-specific fatty acid binding proteins (FABP4) in chronic heart failure (CHF) patients, with and without type 2 diabetes mellitus (T2D). It was found that the concentrations of FABP3 and FABP4 were associated with all-cause and cardiovascular mortality, particularly in patients with T2D. The study suggests that serum FABP3 and FABP4 concentrations can serve as independent predictors for the occurrence of all-cause and cardiovascular mortality in ambulatory CHF subjects with T2D.

ANTIOXIDANTS (2023)

Editorial Material Cardiac & Cardiovascular Systems

Quality over quantity: assessing the need for multiple biomarkers in predicting heart failure outcomes

Antoni Bayes-Genis, Josep Lupon, Pau Codina

EUROPEAN JOURNAL OF HEART FAILURE (2023)

Review Cardiac & Cardiovascular Systems

State-of-the-art document on optimal contemporary management of cardiomyopathies

Petar M. Seferovic, Marija Polovina, Giuseppe Rosano, Biykem Bozkurt, Marco Metra, Stephane Heymans, Wilfried Mullens, Johann Bauersachs, Karen Sliwa, Rudolf A. de Boer, Dimitrios Farmakis, Thomas Thum, Iacopo Olivotto, Claudio Rapezzi, Ales Linhart, Domenico Corrado, Carsten Tschope, Ivan Milinkovic, Antoni Bayes Genis, Gerasimos Filippatos, Andre Keren, Milika Asanin, Gordana Krljanac, Ruzica Maksimovic, Hadi Skouri, Tuvia Ben Gal, Brenda Moura, Maurizio Volterrani, Magdy Abdelhamid, Yuri Lopatin, Ovidiu Chioncel, Andrew J. S. Coats

Summary: Cardiomyopathies play a significant role in cardiovascular morbidity and mortality. Progress has been made in understanding the genetic background and pathophysiological mechanisms, leading to improved diagnostic and risk stratification approaches. Targeted therapies and standard care have the potential to improve outcomes in various types of cardiomyopathies.

EUROPEAN JOURNAL OF HEART FAILURE (2023)

Editorial Material Cardiac & Cardiovascular Systems

CA125 for Fluid Overload Monitoring A New Life for an Old Tool

Antoni Bayes-Genis, Rafael de la Espriella, Julio Nunez

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2023)

Article Cardiac & Cardiovascular Systems

Heart failure risk scores in advanced heart failure patients: insights from the LEVO-D registry

Pau Codina, David Dobarro, Javier de Juan-Baguda, Fernando De Frutos, Josep Lupon, Antoni Bayes-Genis, Jose Gonzalez-Costello, Spanish LEVO D Registry Collaborators

Summary: This study aimed to evaluate the mortality prediction performance of the MAGGIC-HF risk score and the BCN-Bio-HF model in advanced HF patients receiving levosimendan as destination therapy. The results showed suboptimal discrimination and calibration of these two risk scores, with an underestimation of risk. Specific risk scores for advanced HF are needed.

ESC HEART FAILURE (2023)

Article Cardiac & Cardiovascular Systems

Biophysical Tissue Characterization of Ventricular Tachycardia Substrate With Local Impedance Mapping to Predict Critical Sites

Julia Aranyo, Daina Martinez-Falguera, Victor Bazan, Edgar Fadeuilhe, Albert Teis, Axel Sarrias, Oriol Rodriguez-Leor, Carolina Curiel, Roger Villuendas, Antoni Bayes-Genis, Carolina Galvez-Monton, Felipe Bisbal

Summary: This study aimed to test the application of local impedance (LI)-based mapping in predicting critical components of ventricular tachycardia (VT) after myocardial infarction (MI). The results showed that specific LI patterns were associated with VT inducibility and colocalized with the VT isthmus, thus representing a potential new target for ablation in substrate-based procedures.

JACC-CLINICAL ELECTROPHYSIOLOGY (2023)

No Data Available