ARYA Atherosclerosis Journal

Refractory Atrial Flutter, the Unusual Presentation of Covid-19 Infection in a Neonate: A Case Report and Review of Literature

Document Type : Case Report

Authors

Seyed Hossein Saadat 1
Marjan Tariverdi 2
Mohammadreza Kargarfard Jahromi 3
deepak sharma 4
Nazanin Farahbakhsh 5

1 Assistant Professor, Faculty of Medicine, Clinical Research Development Center of children’s Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2 Assistant Professor of Pediatric Infectious Disease, Department of Pediatrics, School of Medicine Hormozgan University of Medical Sciences, Bandar Abbas, Iran

3 3. Assistant Professor of Assistant Professor of Pediatric Cardiology, Department of Pediatrics, School of Medicine Pediatrics hospital ,Hormozgan University of Medical Science, Bandar Abbas, Iran

4 Department of neonatology, NIMS Medical College, SobhaNgar, Jaipur, Rajasthan, India

5 Assistant Professor, Department of Pediatric Pulmonology, Mofid Pediatrics Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

https://doi.org/10.48305/arya.2023.41673.2901
Abstract
INTRODUCTION: The accurate incidence of different cardiovascular consequences of COVID-19 in the pediatric population has been inadequately defined due to ongoing genotype changes in the virus. Although COVID-19 is known to increase inflammatory markers associated with atrial arrhythmias, the contemporary literature has poorly described new onset arrhythmias as a complication in previously healthy neonates with COVID-19.
CASE PRESENTATION: A twenty-day-old female term neonate, born by caesarean section with immediate cry, developed labored breathing, cyanosis, and tachycardia after having close contact with a confirmed case of COVID-19. The neonate developed atrial flutter, which was refractory to cardioversion and drugs, namely Amiodarone, Flecainide, and Propranolol. The authors treated the neonate with IVIG. This is the first reported case of atrial flutter in the neonatal period secondary to COVID-19.
CONCLUSION: Since the start of the SARS-CoV-2 pandemic, all attention and concerns have been mainly on respiratory manifestations and complications. The cardiovascular complications and treatment have been neglected. This case reports tachyarrhythmia (Atrial Flutter) as an unusual presentation of acute COVID-19 in the neonatal population and shows the role of IVIG in the treatment of refractory arrhythmias.
 

Keywords

Atrial Flutter
Neonates
Covid-19
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ARYA Atherosclerosis Journal
Volume 19, Issue 6
November and December 2023
Pages 44-48

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