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Wouldn’t ecg changes be plausibly the result of the virus itself? I haven’t read the paper so maybe they go into greater detail but it would be important to know whether such changes were seen in the control group as attrition/discontinuance is critically important to any study.

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Well they're the most frequently occurring serious side effect of HCQ, so I'm not sure why you're leaping to blame the virus when the drug they're giving is well-known for causing exactly those problems.

Those ECG changes aren't generally observed just in people who have COVID-19; it's the drug that we know does that, doing that.

I imagine this question would be sorted out by looking at the control group.

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