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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.

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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

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