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Repeated Syncope Following COVID-19 Infection
Yoh Arita1, Kota Takaki1, Yuto Suetani1
1Department of Cardiology, Japan Community Healthcare Organization (JCHO) Osaka Hospital, Japan.
Internal Medicine (Tokyo, Japan)
|March 3, 2024
Summary
A patient experienced syncope and cardiac pauses after COVID-19 infection. Despite pacemaker implantation, vasodepressor reflex syncope persisted, questioning the necessity of pacemakers for post-COVID-19 syncope.
Area of Science:
- Cardiology
- Infectious Diseases
- Neurology
Background:
- Coronavirus disease 2019 (COVID-19) can lead to various cardiovascular complications.
- Syncope, or fainting, is a concerning symptom that requires thorough investigation.
Observation:
- A 74-year-old woman presented with syncope following a COVID-19 infection.
- Telemetry monitoring revealed significant sinus arrest and bradycardia during syncope episodes.
- Despite permanent pacemaker implantation, the patient continued to experience syncope.
Findings:
- Head-up tilt testing diagnosed vasodepressor reflex syncope.
- The patient's persistent syncope despite pacemaker implantation highlights complex underlying mechanisms.
Implications:
- The role of permanent pacemakers in managing syncope after COVID-19 infection is uncertain.
- Further research is needed to understand the link between COVID-19 and autonomic dysfunction causing syncope.
- This case underscores the importance of comprehensive diagnostic evaluation for syncope in post-COVID-19 patients.
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