tetano
Editor, Senior Moderator
Cureus
. 2021 Jul 7;13(7):e16246.
doi: 10.7759/cureus.16246. eCollection 2021 Jul.
Third-Degree Heart Block Associated With Saddle Pulmonary Embolism: A Rare Sequelae of COVID-19-Induced Hypercoagulable State
Zeeshan Ismail[SUP] 1 [/SUP], Joshua K Salabei[SUP] 1 [/SUP], Greg Stanger[SUP] 1 [/SUP], Zekarias T Asnake[SUP] 1 [/SUP], Leora Frimer[SUP] 1 [/SUP], Andrew Smock[SUP] 1 [/SUP]
Affiliations
Abstract
The pathophysiology of coronavirus disease 2019 (COVID-19) involves multi-organ dysfunction, particularly involving the respiratory, cardiovascular and hematological systems. This dysfunction is partly due to systemic inflammation causing a wide array of pathological sequelae thus posing a significant challenge to management despite the advances in treatment made thus far. In this report, we present a COVID-19 patient who developed a transient complete heart block and was temporarily paced as a complication of a saddle pulmonary embolus (PE). The mechanism of complete heart block is unclear, may be related to strain, ischemia, or vagal response. We believe that this is a unique sequence of events in a COVID-19 patient and, to our knowledge, is the first of its kind to be reported.
Keywords: covid 19; hypercoagulable state; pulmonary emboli; saddle embolus; third degree atrioventricular block.
. 2021 Jul 7;13(7):e16246.
doi: 10.7759/cureus.16246. eCollection 2021 Jul.
Third-Degree Heart Block Associated With Saddle Pulmonary Embolism: A Rare Sequelae of COVID-19-Induced Hypercoagulable State
Zeeshan Ismail[SUP] 1 [/SUP], Joshua K Salabei[SUP] 1 [/SUP], Greg Stanger[SUP] 1 [/SUP], Zekarias T Asnake[SUP] 1 [/SUP], Leora Frimer[SUP] 1 [/SUP], Andrew Smock[SUP] 1 [/SUP]
Affiliations
- PMID: 34381643
- PMCID: PMC8351253
- DOI: 10.7759/cureus.16246
Abstract
The pathophysiology of coronavirus disease 2019 (COVID-19) involves multi-organ dysfunction, particularly involving the respiratory, cardiovascular and hematological systems. This dysfunction is partly due to systemic inflammation causing a wide array of pathological sequelae thus posing a significant challenge to management despite the advances in treatment made thus far. In this report, we present a COVID-19 patient who developed a transient complete heart block and was temporarily paced as a complication of a saddle pulmonary embolus (PE). The mechanism of complete heart block is unclear, may be related to strain, ischemia, or vagal response. We believe that this is a unique sequence of events in a COVID-19 patient and, to our knowledge, is the first of its kind to be reported.
Keywords: covid 19; hypercoagulable state; pulmonary emboli; saddle embolus; third degree atrioventricular block.