Asystole in COVID-19 Infection: A Case Report
Umesh Manchandani1, Shamsuddin Anwar1, Sudeep Acharya1
1Internal Medicine, Northwell Health, Staten Island, USA.
Insights
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause heart problems. This report details a rare case of sinus node dysfunction and asystole in a young patient due to COVID-19, requiring a pacemaker.
Area of Science:
- Cardiology
- Infectious Diseases
- Virology
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, presents with diverse cardiac complications.
- These manifestations include myocardial injury, heart failure, and arrhythmias.
Observation:
- A young patient without prior cardiac history developed severe sinus node dysfunction and asystole.
- This rare cardiac event occurred in the context of COVID-19 infection.
Findings:
- The case highlights an unusual presentation of SARS-CoV-2 cardiac involvement.
- Sinus node dysfunction and asystole necessitated urgent medical intervention.
Implications:
- This case underscores the potential for severe cardiac arrhythmias in COVID-19 patients, even young individuals without risk factors.
- It emphasizes the importance of cardiac monitoring in patients with SARS-CoV-2.
- Pacemaker implantation may be required for life-threatening arrhythmias associated with COVID-19.
Abstract:
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19), has been associated with a broad spectrum of cardiac manifestations ranging from myocardial injury and heart failure to cardiac arrhythmias. In this report, we present a rare case of sinus node dysfunction/asystole in a young patient without any known history of coronary artery disease or cardiac arrhythmias, which necessitated pacemaker placement.
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