Atrial Fibrillation after COVID-19 Vaccination in an Adolescent: A Case Report

Min Kyu Seo, Sun Hyang Lee
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Abstract

Several cases of cardiac arrhythmia after coronavirus disease 2019 (COVID-19) vaccination have been reported in adults. However, the Centers for Disease Control and Prevention do not list cardiac arrhythmias as a possible side effect of the COVID-19 vaccines. A previously healthy 18-year-old man presented at the Soonchunhyang University Bucheon Hospital with complaints of palpitations, acute chest tightness, and dyspnea. Two days before presentation, he had received the COVID-19 vaccine, BNT162b2 (Comirnaty, Pfizer-BioNTech; Pfizer, New York, NY, USA). His vital signs were stable; however, physical examination revealed irregular heartbeats without a cardiac murmur. A 12-lead electrocardiography showed atrial fibrillation. The patient received several medications for 6 months, without improvement. Eventually normal sinus rhythm was restored with cardioversion. The patient has remained asymptomatic for 1 year. We report the case of an adolescent with atrial fibrillation after receiving a messenger RNA COVID-19 vaccine. Atrial fibrillation should be considered a cardiovascular side effect of the COVID-19 vaccine in adolescents.
一名青少年接种 COVID-19 疫苗后出现心房颤动:病例报告
据报道,成人接种冠状病毒病 2019(COVID-19)疫苗后出现了几例心律失常。然而,美国疾病控制和预防中心并未将心律失常列为 COVID-19 疫苗可能产生的副作用。顺天乡大学富川医院接诊了一名 18 岁的健康男性,主诉心悸、急性胸闷和呼吸困难。就诊前两天,他接种了 COVID-19 疫苗 BNT162b2(Comirnaty,辉瑞生物技术公司;辉瑞,美国纽约州纽约市)。他的生命体征平稳,但体格检查显示心律不齐,无心脏杂音。12 导联心电图显示为心房颤动。患者接受了 6 个月的多种药物治疗,但病情未见好转。最后通过心脏复律恢复了正常窦性心律。一年来,患者一直没有任何症状。我们报告了一例青少年在接种信使核糖核酸 COVID-19 疫苗后出现心房颤动的病例。心房颤动应被视为 COVID-19 疫苗对青少年心血管的副作用。
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