Sinus Node Dysfunction in a Young Patient With COVID-19

Giuliana Cimino; Greta Pascariello; Nicola Bernardi; Emiliano Calvi; Gianmarco Arabia; Francesca Salghetti; Luca Bontempi; Enrico Vizzardi; Marco Metra; Antonio Curnis

doi:10.1016/j.jaccas.2020.05.067

Sinus Node Dysfunction in a Young Patient With COVID-19

JACC Case Rep. 2020 Jul 15;2(9):1240-1244. doi: 10.1016/j.jaccas.2020.05.067. Epub 2020 Jun 8.

Affiliation

¹ Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy.

Abstract

A 34-year-old man was admitted with acute lung injury and COVID-19 pneumonia. In the intensive care unit, he experienced episodes of prolonged asystole accompanied by hypotension without loss of consciousness. Once reversible causes were excluded, symptoms were related to dysfunction of the sinus node, and the patient underwent implantation of a pacemaker. (Level of Difficulty: Beginner.).

Keywords: COVID-19; COVID-19, coronavirus-2019; CoV, coronavirus; PM, pacemaker; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; SSD, sick sinus dysfunction; bradycardia; bradycardia-tachycardia syndrome; electrophysiology; sick sinus dysfunction; sinus node dysfunction.

Publication types

Case Reports