Sinus Node Dysfunction in a Young Patient With COVID-19

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

JACC: Case Reports (Jul 2020)

Sinus Node Dysfunction in a Young Patient With COVID-19

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

Affiliations

Giuliana Cimino, MD: Address for correspondence: Dr. Giuliana Cimino, Institute of Cardiology, Spedali Civili, Piazzale Spedali Civili 1, Brescia BS 25123, Italy.; Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
Greta Pascariello, MD: Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
Nicola Bernardi, MD: Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
Emiliano Calvi, MD: Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
Gianmarco Arabia, MD: Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
Francesca Salghetti, MD: Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
Luca Bontempi, MD: Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
Enrico Vizzardi, MD: Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
Marco Metra, MD: Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
Antonio Curnis, MD: Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy

Journal volume & issue: Vol. 2, no. 9
pp. 1240 – 1244

Abstract

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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.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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