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Junctional bradycardia in a patient with COVID-19: A case report

Abdullah Ibrahim Aedh1

  • 1Department of Internal Medicine, College of Medicine, Najran University, Najran 1988, Saudi Arabia. dr.abuwaleed3733@hotmail.com.

World Journal of Clinical Cases
|September 26, 2022
PubMed

Insights

This case study highlights a patient with coronavirus disease 2019 (COVID-19) who developed junctional bradycardia, a type of slow heart rhythm. Continuous cardiac monitoring is crucial for managing arrhythmias in COVID-19 patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Electrophysiology

Background:

  • Cardiac arrhythmias, including bradyarrhythmias, are recognized manifestations of coronavirus disease 2019 (COVID-19).
  • This report details a case of junctional bradycardia potentially caused by sinus node dysfunction in a COVID-19 patient.

Observation:

  • A 32-year-old woman with no prior medical history developed junctional bradycardia on hospitalization day 3.
  • The patient remained hemodynamically stable despite episodes of nodal dysrhythmia and low heart rate.
  • Elevated systemic inflammatory markers accompanied the cardiac rhythm disturbances.

Findings:

  • The patient received antiviral and anti-inflammatory treatments for COVID-19.
  • No antiarrhythmic medications were administered.
  • Normal sinus rhythm was restored by day 12 of hospitalization.

Implications:

  • Cardiac rhythm monitoring is essential in COVID-19 patients.
  • Understanding the link between systemic inflammation and cardiac arrhythmias is critical for patient management.
  • This case underscores the potential for COVID-19 to affect cardiac electrical activity.
Abstract

Keywords:
BradycardiaCOVID-19Case reportHeart rateSARS-CoV-2Sinus node dysfunction

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