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Infection with COVID-19 Complicated by Sinus Arrest

Guojun Zhang1, Shuai He2, Lu Lin3

  • 1Department of Infectious Disease, The First People's Hospital of Fuyang Hangzhou, Fuyang District, Hangzhou, Zhejiang, China.

Case Reports in Infectious Diseases
|May 24, 2024
PubMed

Insights

Coronavirus disease 2019 (COVID-19) can cause cardiac complications like sinus arrest. This case shows COVID-19-induced sinus arrest can resolve, suggesting conservative management may be effective.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Internal Medicine

Background:

  • Coronavirus disease 2019 (COVID-19) is a respiratory illness known to cause cardiac complications.
  • Immune responses to viral infections can impact cardiovascular function.

Observation:

  • A 79-year-old woman developed sinus arrest (SA) with a 7.2-second asystole after a second COVID-19 infection.
  • SA was not present after her initial COVID-19 infection.
  • The patient's condition resolved with conservative management, despite meeting criteria for pacemaker implantation.

Findings:

  • COVID-19 reinfection can induce significant cardiac arrhythmias, such as sinus arrest.
  • The induced arrhythmia demonstrated reversibility over time.
  • Conservative management proved effective in this case.

Implications:

  • COVID-19's potential to cause reversible cardiac arrhythmias warrants careful consideration in patient management.
  • Permanent pacemaker implantation may not be the immediate priority for COVID-19-associated sinus arrest.
  • Further research is needed on the long-term cardiac effects of COVID-19 and its variants.

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