Harry Spoelstra@HarrySpoelstra
Persistent Arrhythmogenic Effects of COVID-19: A Comprehensive Analysis of Device Implantation and Antiarrhythmic Interventions in Japan
🚨There we go again: Even a mild COVID-19 can (permanently) damage your heart!
➡️Large study:
- Nationwide Japanese analysis of medical data from >6 million people, propensity score-matched comparison of 3,077,758 COVID-19 survivors vs. equal number of never-infected controls, with 2-year follow-up,
➡️Primary outcome:
- COVID-19 survivors had nearly 2x the overall rate of cardiac device implantations (pacemakers, ICDs, CRT),
➡️Specific risks:
- 86% higher risk of pacemaker implantation,
- >2x the risk for ICDs,
- >3x the risk for CRT,
➡️Additional interventions:
- Significantly higher rates of catheter ablation procedures, Class III antiarrhythmic drugs, and anticoagulant prescriptions,
➡️Risk pattern:
- Effects persisted for the full 2 years!!!
- Highest risk in patients ≥65 years and those with pre-existing cardiovascular disease (cardiomyopathy, conduction disorders, atrial arrhythmias),
➡️Special insight:
- Increased risks were observed even in non-hospitalized (mild) COVID-19 cases, indicating effects are not limited to severe infection,
➡️Proposed mechanisms:
- Direct viral cardiac invasion, persistent inflammation, microvascular thrombosis, immune dysregulation, and myocardial scarring,
➡️Comment:
- No mention on Reinfections, repeated infections, or multiple COVID-19 episodes or vaccination status/history,
‼️So, COVID-19 leaves lasting, dangerous damage to the heart’s electrical system that substantially drives up the need for pacemakers, defibrillators, and other invasive arrhythmia treatments for at least two years, even after mild infections.
Clearly SarsCoV2 is leaving us with a persistent arrhythmogenic legacy!
➡️SARSCOV2 is a CV RISKFactor!
#AvoidSars2 #AvoidReinfections #YouOnlyHaveOneHeart
onlinelibrary.wiley.com/doi/full/10.10…