Pentagimenal Premature Ventricular Contractions in COVID-19 Pneumonia with the Passing Phenomenon (Yasser's Phenomenon) and Suspected Hiatus Hernia; the Strange Combina
Mod J Med Biol
Rationale: A pandemic COVID-19 virus is still causing a serious ongoing worldwide systemic infection. Premature ventricular contractions represent risk arrhythmia in the existence of COVID-19 pneumonia. Premature ventricular contractions with structural heart disease are considered a way to sudden cardiac death. There is a correlation between the frequency of premature ventricular contractions and a poor prognosis. Hiatus hernia is an uncommon hidden non-straight type of hernia.
Patient Concerns: A 65-year-old married, Egyptian farmer, heavy smoker, male patient was admitted to the critical care unit with COVID-19 pneumonia, premature ventricular contractions, and suspected hiatus hernia.
Diagnosis: Pentagimenal premature ventricular contractions in COVID-19 pneumonia with the Passing phenomenon (Yasser's phenomenon) and suspected hiatus hernia.
Interventions: Electrocardiography, chest CT, oxygenation, and echocardiography.
Outcomes: Dramatic response and a good outcome had happened.
Lessons: Pentagimenal premature ventricular contractions and the Passing phenomenon (Yasser's phenomenon) is a novelty described in COVID-19 pneumonia. The existence of horizontal ST-segment depressions with premature ventricular contractions is a signal for the ischemic type. The associations between COVID-19 pneumonia and hiatus hernia is unknown strictly point. Elderly male sex, cigarette smoking, COVID-19 pneumonia, frequent ischemic premature ventricular contractions, ischemic heart disease, suspected hiatus hernia, and a Wavy triple sign (Yasser’s sign) of hypocalcemia remarkably add other bad prognostic points and is indicating a high-risk condition.
Keywords: COVID-19; Pneumonia; Premature Ventricular Contractions; Passing Phenomenon (Yasser's Phenomenon); Hiatus Hernia