Heart Rate Variability in a Patient with Coronavirus Disease 2019

Reiner Buchhorn, Christoph Baumann, Christian Willaschek


This case study investigates the heart rate (HR) and heart rate variability (HRV) in a patient with coronavirus disease 2019 (COVID-19). We report the case of a 58-year old male who contracted COVID-19. During his disease, 24-hour Holter electrocardiography (ECG) was performed continuously. For comparison, his 24-hour Holter ECGs from the previous 10 years were available. In this patient, COVID-19 was associated with a decrease in HR and a paradoxical decline in HRV. An abrupt decline in HRV and a decrease in HR may signal the onset of COVID-19 before common symptoms such as dry cough or fever appear. In addition, HRV and HR measurements may help to evaluate the course of the disease.


COVID-19 virus disease; Autonomic nervous system; Electrocardiography; Heart rate

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DOI: https://doi.org/10.17987/icfj.v20i0.685

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