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Dynamic changes of atrioventricular conduction during Covid-19 infection: Does inflammation matter?
Risca Rini Aryanti1, Dony Yugo Hermanto1, Yoga Yuniadi1
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia and Arrhythmia Division, National Cardiovascular Center Harapan Kita, Jalan S Parman Kav 87 Slipi, Jakarta, 11420 Indonesia.
Background:
The primary manifestation of COVID-19 infection was pulmonary involvement. However, it can also manifest as a cardiovascular problem.
Methods:
We report a case of 82-year-old male COVID-19 patient who experienced atrioventricular (AV) conduction disturbance.
Results:
The rhythm was degenerated from sinus rhythm to complete AV block. We observe dynamic AV node dysfunction associated with inflammatory response. His bundle pacing successfully captured distal His region.
Conclusion:
The severe inflammatory response during COVID-19 infection might permanently damage cardiac conduction system resulted in a complete AV node block.
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