Possible nirmatrelvir/ritonavir-induced bradycardia in a patient with asymptomatic COVID-19

COVID-19 emerged in 2019 and was declared a pandemic by the World Health Organization in March 2020. COVID-19 is highly transmissible and can lead to bilateral pneumonia with severe respiratory failure. COVID-19 has led to more than 6.5 million deaths worldwide. The significant morbidity and mortali...

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Main Authors: Elizabeth DeMarco, Matthew Turnipseed, Brian Clarke, Farhan Qadeer
Format: Article
Language:English
Published: SAGE Publishing 2023-04-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231168304
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author Elizabeth DeMarco
Matthew Turnipseed
Brian Clarke
Farhan Qadeer
author_facet Elizabeth DeMarco
Matthew Turnipseed
Brian Clarke
Farhan Qadeer
author_sort Elizabeth DeMarco
collection DOAJ
description COVID-19 emerged in 2019 and was declared a pandemic by the World Health Organization in March 2020. COVID-19 is highly transmissible and can lead to bilateral pneumonia with severe respiratory failure. COVID-19 has led to more than 6.5 million deaths worldwide. The significant morbidity and mortality due to COVID-19 have resulted in the development of treatment modalities, such as novel antivirals, to reduce hospitalizations and progression of disease. In 2021, the US Food and Drug Administration authorized nirmatrelvir/ritonavir for emergency use in nonhospitalized patients with COVID-19. Nirmatrelvir is a newly developed protease inhibitor and is combined with a commonly used pharmacokinetic boosting agent, ritonavir. Given the novelty of nirmatrelvir/ritonavir, potential adverse effects remain uncertain. In this case, we describe a patient who was initiated on a course of nirmatrelvir/ritonavir and developed symptomatic bradycardia.
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spelling doaj.art-ba4f6827c68d463487a927e5e666d4db2023-04-20T11:04:36ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-04-011110.1177/2050313X231168304Possible nirmatrelvir/ritonavir-induced bradycardia in a patient with asymptomatic COVID-19Elizabeth DeMarcoMatthew TurnipseedBrian ClarkeFarhan QadeerCOVID-19 emerged in 2019 and was declared a pandemic by the World Health Organization in March 2020. COVID-19 is highly transmissible and can lead to bilateral pneumonia with severe respiratory failure. COVID-19 has led to more than 6.5 million deaths worldwide. The significant morbidity and mortality due to COVID-19 have resulted in the development of treatment modalities, such as novel antivirals, to reduce hospitalizations and progression of disease. In 2021, the US Food and Drug Administration authorized nirmatrelvir/ritonavir for emergency use in nonhospitalized patients with COVID-19. Nirmatrelvir is a newly developed protease inhibitor and is combined with a commonly used pharmacokinetic boosting agent, ritonavir. Given the novelty of nirmatrelvir/ritonavir, potential adverse effects remain uncertain. In this case, we describe a patient who was initiated on a course of nirmatrelvir/ritonavir and developed symptomatic bradycardia.https://doi.org/10.1177/2050313X231168304
spellingShingle Elizabeth DeMarco
Matthew Turnipseed
Brian Clarke
Farhan Qadeer
Possible nirmatrelvir/ritonavir-induced bradycardia in a patient with asymptomatic COVID-19
SAGE Open Medical Case Reports
title Possible nirmatrelvir/ritonavir-induced bradycardia in a patient with asymptomatic COVID-19
title_full Possible nirmatrelvir/ritonavir-induced bradycardia in a patient with asymptomatic COVID-19
title_fullStr Possible nirmatrelvir/ritonavir-induced bradycardia in a patient with asymptomatic COVID-19
title_full_unstemmed Possible nirmatrelvir/ritonavir-induced bradycardia in a patient with asymptomatic COVID-19
title_short Possible nirmatrelvir/ritonavir-induced bradycardia in a patient with asymptomatic COVID-19
title_sort possible nirmatrelvir ritonavir induced bradycardia in a patient with asymptomatic covid 19
url https://doi.org/10.1177/2050313X231168304
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AT brianclarke possiblenirmatrelvirritonavirinducedbradycardiainapatientwithasymptomaticcovid19
AT farhanqadeer possiblenirmatrelvirritonavirinducedbradycardiainapatientwithasymptomaticcovid19