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Multiple Sinus Pauses in a Patient With COVID-19
Abdulbaril Olagunju1, Beani Forst1, Oleg Yakymovych1
1Internal Medicine, Creighton University School of Medicine, Phoenix, USA.
Cureus
|April 26, 2021
Summary
Coronavirus disease 2019 (COVID-19) can cause bradyarrhythmias, such as long sinus pauses, particularly with worsening respiratory failure. Monitoring hospitalized patients for arrhythmias is crucial for timely intervention and improved outcomes.
Area of Science:
- Cardiology
- Infectious Diseases
- Critical Care Medicine
Background:
- Cardiovascular complications in COVID-19 are linked to poor prognosis.
- Reported cardiac issues include myocarditis, acute coronary syndrome, heart failure, and arrhythmias.
Observation:
- A 55-year-old female with COVID-19 induced hypoxemic respiratory failure developed asymptomatic long sinus pauses.
- These bradyarrhythmias correlated with increased oxygen requirements and resolved as respiratory status improved.
Findings:
- Hypoxemia, cytokine storm, dysautonomia, viral infiltration, and myocardial inflammation are potential causes of COVID-19-associated bradyarrhythmias.
- Both symptomatic and asymptomatic bradyarrhythmias have been documented in COVID-19 patients.
Implications:
- Close telemetry monitoring of hospitalized COVID-19 patients is essential for early arrhythmia detection.
- Prompt recognition and management of arrhythmias can prevent rapid cardiopulmonary decline and guide timely intensive care escalation.
- Further research is needed to understand the long-term outcomes of COVID-19 patients with bradyarrhythmias.
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