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Bradyarrhythmia in COVID-19 Patients

Abdulrahman Hakami1, Aisha Moafa2, Abeer Alomaish2

  • 1Internal Medicine, Jazan University, Jazan, SAU.

Cureus
|December 20, 2021
PubMed

Insights

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause bradyarrhythmia, a slow heart rate, in young adults. This study reports two cases of otherwise healthy young patients experiencing bradycardia following SARS-CoV-2 infection.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Virology

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, is a global health emergency.
  • SARS-CoV-2 infection impacts the cardiovascular system by disrupting angiotensin-converting enzyme-2 receptors.
  • Cardiovascular complications like myocardial infarction, stroke, and myocarditis are frequently reported in COVID-19 patients.

Observation:

  • Bradyarrhythmia, a less common cardiac event, has been infrequently reported in association with COVID-19.
  • This report details two cases of young adult patients presenting with bradycardia.
  • Both patients had positive SARS-CoV-2 tests and electrocardiogram findings of bradycardia.

Findings:

  • The reported patients were young adults with no prior history of cardiovascular illness.
  • Despite SARS-CoV-2 infection, their overall health condition was otherwise normal.
  • Electrocardiogram confirmed bradycardia in both cases.

Implications:

  • These cases highlight bradyarrhythmia as a potential, albeit rare, cardiovascular complication of SARS-CoV-2 infection in young adults.
  • Further research is needed to understand the mechanisms and prevalence of SARS-CoV-2-associated bradyarrhythmia.
  • This underscores the importance of cardiac monitoring in patients with SARS-CoV-2, even in younger, otherwise healthy individuals.

Keywords:
angiotensin-converting enzyme 2bradyarrhythmiacomputerized tomographycoronavirus disease 19echocardiographyelectrocardiographysevere acute respiratory syndrome coronavirus test

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