Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Aug;11(8):4851-4853.
doi: 10.4103/jfmpc.jfmpc_2095_21. Epub 2022 Aug 30.

Complete heart block in COVID-19 without prior cardiac disease

N P Kavya  1 , Aditya Sudan  1 , Nupur B Patel  2 , Prasan K Panda  1
Affiliations
Case Reports

Complete heart block in COVID-19 without prior cardiac disease

N P Kavya et al. J Family Med Prim Care. 2022 Aug.

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.

Keywords: Cardiovascular manifestations; coronavirus disease 2019; cytokine storm; heart block.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) - Electrocardiograph showing AV dissociation with an RBBB-like morphology (predominantly positive in V1) with an HR of 33/min, QRS duration-200 ms suggestive of a complete heart block with an LV origin idioventricular rhythm. (b) - A high-resolution CT scan showed areas of ground-glass attenuation with interspersed areas of consolidation and interstitial septal thickening in the bilateral lungs, with findings suggestive of Covid-19 pneumonia–CORADS 6, CTSS - 26/40
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Kang M, An J. StatPearls [Internet] Treasure Island (FL): StatPearls Publishing; 2021. Viral Myocarditis. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459259/
    1. Krittanawong C, Kumar A, Hahn J, Wang Z, Zhang HJ, Sun T, et al. Cardiovascular risk and complications associated with COVID-19. Am J Cardiovasc Dis. 2020;10:479–89. - PMC - PubMed
    1. Sharma YP, Agstam S, Yadav A, Gupta A, Gupta A. Cardiovascular manifestations of COVID-19: An evidence-based narrative review. Indian J Med Res. 2020 doi: 10.4103/ijmr.IJMR_2450_20. - PMC - PubMed
    1. Eneizat Mahdawi T, Wang H, Haddadin FI, Al-Qaysi D, Wylie JV. Heart block in patients with coronavirus disease 2019: A case series of 3 patients infected with SARS-CoV-2. HeartRhythm Case Rep. 2020;6:652–6. - PMC - PubMed
    1. Siripanthong B, Nazarian S, Muser D, Deo R, Santangeli P, Khanji MY, et al. Recognizing COVID-19-related myocarditis: The possible pathophysiology and proposed guideline for diagnosis and management. Heart Rhythm. 2020;17:1463–71. - PMC - PubMed

Publication types