Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reports

<p dir="ltr">The coronavirus disease 2019 (COVID-19) pandemic has been an enormous public health challenge. The pursuit for an effective therapy led to the use of the antiviral drug Remdesivir for hospitalized patients with severe COVID-19 pneumonia. We reported two cases of patients...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Alaaeldin Abdelmajid (12535542) (author)
مؤلفون آخرون: Wala Osman (17269054) (author), Huda Musa (17269057) (author), Hisham Elhiday (17269060) (author), Waqar Munir (14506265) (author), Muna A. Al.Maslamani (17269063) (author), Eman Zeyad Elmekaty (17269066) (author)
منشور في: 2021
الموضوعات:
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author Alaaeldin Abdelmajid (12535542)
author2 Wala Osman (17269054)
Huda Musa (17269057)
Hisham Elhiday (17269060)
Waqar Munir (14506265)
Muna A. Al.Maslamani (17269063)
Eman Zeyad Elmekaty (17269066)
author2_role author
author
author
author
author
author
author_facet Alaaeldin Abdelmajid (12535542)
Wala Osman (17269054)
Huda Musa (17269057)
Hisham Elhiday (17269060)
Waqar Munir (14506265)
Muna A. Al.Maslamani (17269063)
Eman Zeyad Elmekaty (17269066)
author_role author
dc.creator.none.fl_str_mv Alaaeldin Abdelmajid (12535542)
Wala Osman (17269054)
Huda Musa (17269057)
Hisham Elhiday (17269060)
Waqar Munir (14506265)
Muna A. Al.Maslamani (17269063)
Eman Zeyad Elmekaty (17269066)
dc.date.none.fl_str_mv 2021-08-12T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.idcr.2021.e01254
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Remdesivir_therapy_causing_bradycardia_in_COVID-19_patients_Two_case_reports/24420430
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Remdesivir
COVID-19
Bradycardia
Viral pneumonia
SARS-CoV-2
dc.title.none.fl_str_mv Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reports
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">The coronavirus disease 2019 (COVID-19) pandemic has been an enormous public health challenge. The pursuit for an effective therapy led to the use of the antiviral drug Remdesivir for hospitalized patients with severe COVID-19 pneumonia. We reported two cases of patients with severe COVID-19 pneumonia and worsening oxygen requirements. Both patients developed sinus bradycardia following the initiation of Remdesivir therapy and reverted after stopping it. One of the patients developed QTc interval prolongation and required intensive care unit admission. The proposed mechanism for Remdesivir-induced bradycardia and cardiac toxicity could be due to the intrinsic electrophysiological properties and the effect on the AV node; yet, further large observational studies are warranted for better understanding and correlation of Remdesivir with cardiac adverse events. Till then, healthcare providers need to be alert of this potential adverse event and to monitor their COVID-19 patients closely while on Remdesivir therapy.</p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2021.e01254" target="_blank">https://dx.doi.org/10.1016/j.idcr.2021.e01254</a></p>
eu_rights_str_mv openAccess
id Manara2_fc9d38d2b4b7f9ad82be8af73a45aefc
identifier_str_mv 10.1016/j.idcr.2021.e01254
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24420430
publishDate 2021
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rights_invalid_str_mv CC BY 4.0
spelling Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reportsAlaaeldin Abdelmajid (12535542)Wala Osman (17269054)Huda Musa (17269057)Hisham Elhiday (17269060)Waqar Munir (14506265)Muna A. Al.Maslamani (17269063)Eman Zeyad Elmekaty (17269066)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesRemdesivirCOVID-19BradycardiaViral pneumoniaSARS-CoV-2<p dir="ltr">The coronavirus disease 2019 (COVID-19) pandemic has been an enormous public health challenge. The pursuit for an effective therapy led to the use of the antiviral drug Remdesivir for hospitalized patients with severe COVID-19 pneumonia. We reported two cases of patients with severe COVID-19 pneumonia and worsening oxygen requirements. Both patients developed sinus bradycardia following the initiation of Remdesivir therapy and reverted after stopping it. One of the patients developed QTc interval prolongation and required intensive care unit admission. The proposed mechanism for Remdesivir-induced bradycardia and cardiac toxicity could be due to the intrinsic electrophysiological properties and the effect on the AV node; yet, further large observational studies are warranted for better understanding and correlation of Remdesivir with cardiac adverse events. Till then, healthcare providers need to be alert of this potential adverse event and to monitor their COVID-19 patients closely while on Remdesivir therapy.</p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2021.e01254" target="_blank">https://dx.doi.org/10.1016/j.idcr.2021.e01254</a></p>2021-08-12T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.idcr.2021.e01254https://figshare.com/articles/journal_contribution/Remdesivir_therapy_causing_bradycardia_in_COVID-19_patients_Two_case_reports/24420430CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/244204302021-08-12T00:00:00Z
spellingShingle Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reports
Alaaeldin Abdelmajid (12535542)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Remdesivir
COVID-19
Bradycardia
Viral pneumonia
SARS-CoV-2
status_str publishedVersion
title Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reports
title_full Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reports
title_fullStr Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reports
title_full_unstemmed Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reports
title_short Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reports
title_sort Remdesivir therapy causing bradycardia in COVID-19 patients: Two case reports
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Remdesivir
COVID-19
Bradycardia
Viral pneumonia
SARS-CoV-2