1. Davis, Wesley D. DNP, ENP-C, FNP-C, AGACNP-BC, CEN, FAANP, FAEN
  2. Abbey, Judith Louise RN, BSN
  3. Gamberi, Brittany RN, BSN
  4. Vezina, Lindsay RN, BSN
  5. Whiteaker, Kaili S. RN, BSN


SARS-CoV-2 is the virus that causes COVID-19 and COVID pneumonia and is known to cause cardiovascular abnormalities with electrocardiogram (ECG) disturbances in affected patients. A 47-year-old male patient presented to the emergency department (ED) for the management of COVID-like symptoms. Initial diagnostics included an ECG, which showed significant rhythm changes. Progression of COVID-19 disease compounds myocardial injury with corresponding new-onset ECG anomalies such as QT-segment changes, bundle branch blocks, ST-segment disturbances, and other rhythm abnormalities. This case presentation illustrates ECG changes associated with cardiovascular disease progression.