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Complete heart block in COVID-19 without prior cardiac disease
N P Kavya1, Aditya Sudan1, Nupur B Patel2
1Department of Internal Medicine, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.
Insights
COVID-19 can affect the heart
Area of Science:
- Cardiology
- Infectious Diseases
- Internal Medicine
Background:
- Cardiac involvement is an underdiagnosed complication of COVID-19.
- The conduction system of the heart is a potential target in SARS-CoV-2 infection.
Observation:
- A 78-year-old male patient with COVID-19 presented with complete heart block.
- The patient's condition required immediate medical intervention.
Findings:
- Prompt diagnosis and management of cardiac complications in COVID-19 are crucial.
- Multidisciplinary teamwork involving internists, cardiologists, and intensivists is vital for optimal patient outcomes.
Implications:
- This case underscores the need for heightened awareness of cardiac conduction abnormalities in COVID-19 patients.
- Early recognition and intervention can prevent severe outcomes and improve survival rates, particularly in community settings.
Abstract:
Cardiac involvement in COVID-19 is not rare but underdiagnosed. We report a 78-year-old man with COVID-19 and complete heart block, timely managed by teamwork involving internist, cardiologist, and intensivist. This case highlights the importance of involvement of the conducting system of the heart in COVID-19 that needs immediate life-saving intervention, especially in community.
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