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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Front+Cardiovasc+Med
2020 ; 7
(ä): 85
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
COVID-19 Management and Arrhythmia: Risks and Challenges for Clinicians Treating
Patients Affected by SARS-CoV-2
#MMPMID32432127
Carpenter A
; Chambers OJ
; El Harchi A
; Bond R
; Hanington O
; Harmer SC
; Hancox JC
; James AF
Front Cardiovasc Med
2020[]; 7
(ä): 85
PMID32432127
show ga
The COVID-19 pandemic is an unprecedented challenge and will require novel
therapeutic strategies. Affected patients are likely to be at risk of arrhythmia
due to underlying comorbidities, polypharmacy and the disease process.
Importantly, a number of the medications likely to receive significant use can
themselves, particularly in combination, be pro-arrhythmic. Drug-induced
prolongation of the QT interval is primarily caused by inhibition of the hERG
potassium channel either directly and/or by impaired channel trafficking.
Concurrent use of multiple hERG-blocking drugs may have a synergistic rather than
additive effect which, in addition to any pre-existing polypharmacy, critical
illness or electrolyte imbalance, may significantly increase the risk of
arrhythmia and Torsades de Pointes. Knowledge of these risks will allow informed
decisions regarding appropriate therapeutics and monitoring to keep our patients
safe.