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A Rare Case of Resolution of High-Degree Atrioventricular Block Associated With COVID-19

Farla Jean-Louis1, Ajibola Monsur Adedayo2, Temitope Ajibawo1

  • 1Brookdale University Hospital and Medical Center, Brooklyn, NY, USA.

Journal of Medical Cases
|May 13, 2021
PubMed

Insights

This case report details a rare instance of high-degree atrioventricular (AV) block during coronavirus disease 2019 (COVID-19) infection that resolved without intervention. It emphasizes the need for electrocardiograms and cardiac monitoring in COVID-19 patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Electrophysiology

Background:

  • Coronavirus disease 2019 (COVID-19) is known to cause various cardiac complications, including tachyarrhythmias.
  • The spectrum of cardiac involvement in COVID-19 continues to be elucidated, with arrhythmias being a recognized manifestation.

Observation:

  • This report presents an unusual case of high-degree atrioventricular (AV) block in a patient with COVID-19.
  • The patient's condition followed an atypical hospitalization course, notably resolving without the need for any cardiac intervention.

Findings:

  • The primary finding is the spontaneous resolution of high-degree AV block in the context of COVID-19 infection.
  • This contrasts with previously reported tachyarrhythmias associated with the virus, highlighting a less common but significant cardiac manifestation.

Implications:

  • The case underscores the critical importance of obtaining an initial electrocardiogram (ECG) in all patients presenting with COVID-19.
  • Continuous cardiac monitoring should be considered for select COVID-19 patients to detect and manage potential arrhythmias effectively.

Keywords:
AVAtrioventricularBlockCOVID-19HeartHigh degree

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