A patient in their 60s presented to the emergency department with shortness of breath for a duration of 2 days. The patient had no known medical history and was not vaccinated against the COVID-19 virus. On admission, the patient’s COVID-19 test result was positive, with computed tomography pulmonary angiography results revealing multifocal opacities that were consistent with COVID-19 pneumonia, but no pulmonary embolism. The patient had an unremarkable electrocardiogram (ECG) and echocardiogram results during the first few days of hospitalization. The patient’s illness progressed, and they developed acute respiratory distress syndrome that required intubation and proning. The patient’s course was also complicated by acute kidney failure, ultimately requiring them to undergo hemodialysis. On day 11, the intensive care team noted unusual changes in the patient’s telemetry results (frontal leads II and III) (Figure, A).
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Richard Pham, MD, 11100 Euclid Ave, Cleveland, OH 44106 (firstname.lastname@example.org).
Published Online: March 4, 2023. doi:10.1001/jamainternmed.2022.6462
Conflict of Interest Disclosures: None reported.
Meeting Presentation: This paper was presented at the Annual Scientific Session and Expo of the American College of Cardiology; March 4, 2023; New Orleans, Louisiana.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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