tetano
Editor, Senior Moderator
Intern Med
. 2021 Jun 19.
doi: 10.2169/internalmedicine.6237-20. Online ahead of print.
Paroxysmal Atrioventricular Block in a Relatively Young Patient with COVID-19
Masami Abe[SUP] 1 [/SUP], Suguru Chiba[SUP] 1 [/SUP], Sayuri Kataoka[SUP] 1 [/SUP], Yoshikatsu Gima[SUP] 1 [/SUP], Chikashi Nago[SUP] 1 [/SUP], Sho Hatano[SUP] 1 [/SUP], Toshiya Chinen[SUP] 1 [/SUP], Kentaro Nakamura[SUP] 1 [/SUP], Naoto Miyagi[SUP] 1 [/SUP], Masakazu Nakae[SUP] 2 [/SUP], Akiko Matsuzaki[SUP] 2 [/SUP], Hiroki Uehara[SUP] 1 [/SUP]
Affiliations
Abstract
Cardiac involvement has been reported in patients with COVID-19. We herein report a 41-year-old man who presented with recurrent paroxysmal atrioventricular block without showing significant cardiac injuries or comorbidities. The patient was diagnosed with COVID-19 and admitted to our hospital, where he was noted to have paroxysmal atrioventricular block. Cardiac biomarkers, echocardiography, and cardiac magnetic resonance imaging findings were fairly normal. An endomyocardial biopsy performed before the implantation of a permanent pacemaker revealed mild myocardial fibrosis without inflammatory infiltrates. The unusual myocardial involvement of the novel coronavirus was suspected.
Keywords: COVID-19; atrioventricular block; bradycardia.
. 2021 Jun 19.
doi: 10.2169/internalmedicine.6237-20. Online ahead of print.
Paroxysmal Atrioventricular Block in a Relatively Young Patient with COVID-19
Masami Abe[SUP] 1 [/SUP], Suguru Chiba[SUP] 1 [/SUP], Sayuri Kataoka[SUP] 1 [/SUP], Yoshikatsu Gima[SUP] 1 [/SUP], Chikashi Nago[SUP] 1 [/SUP], Sho Hatano[SUP] 1 [/SUP], Toshiya Chinen[SUP] 1 [/SUP], Kentaro Nakamura[SUP] 1 [/SUP], Naoto Miyagi[SUP] 1 [/SUP], Masakazu Nakae[SUP] 2 [/SUP], Akiko Matsuzaki[SUP] 2 [/SUP], Hiroki Uehara[SUP] 1 [/SUP]
Affiliations
- PMID: 34148946
- DOI: 10.2169/internalmedicine.6237-20
Abstract
Cardiac involvement has been reported in patients with COVID-19. We herein report a 41-year-old man who presented with recurrent paroxysmal atrioventricular block without showing significant cardiac injuries or comorbidities. The patient was diagnosed with COVID-19 and admitted to our hospital, where he was noted to have paroxysmal atrioventricular block. Cardiac biomarkers, echocardiography, and cardiac magnetic resonance imaging findings were fairly normal. An endomyocardial biopsy performed before the implantation of a permanent pacemaker revealed mild myocardial fibrosis without inflammatory infiltrates. The unusual myocardial involvement of the novel coronavirus was suspected.
Keywords: COVID-19; atrioventricular block; bradycardia.