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Needleman JS, Anderson WL, Gray MT, Tanawuttiwat T, Bateman PV. Asystole in a COVID-19 patient without systemic illness: a case report. Oxf Med Case Reports 2022; 2022:omac014. [PMID: 35316994 PMCID: PMC8931820 DOI: 10.1093/omcr/omac014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 12/01/2021] [Accepted: 01/11/2022] [Indexed: 11/14/2022] Open
Abstract
ABSTRACT
There is growing evidence that patients with severe systemic illness from coronavirus disease 2019 (COVID-19) are at risk for developing a variety of cardiac arrhythmias. Less is known about patients with milder symptoms. Here, we report on the case of a 62-year-old male, admitted to the hospital following an episode of syncope, who experienced multiple episodes of cardiac arrest due to asystole lasting up to 30 seconds. History revealed a recent asymptomatic COVID-19 infection, and recurrent episodes of prolonged asystole necessitated permanent pacemaker placement. To our knowledge, this is the first report of an asymptomatic COVID-19 patient experiencing prolonged asystole. Cardiac arrhythmias in asymptomatic or oligosymptomatic COVID-19 patients may be underestimated.
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Affiliation(s)
- Joseph S Needleman
- Internal Medicine-Pediatrics Residency Program, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Wesley L Anderson
- Division of Cardiovascular Medicine, Department of Cardiology, Indiana University School of Medicine Indianapolis, IN, USA
| | - Mitchell T Gray
- Indiana University School of Medicine, Indianapolis, IN, USA
| | - Tanya Tanawuttiwat
- Division of Cardiovascular Medicine, Department of Cardiology, Indiana University School of Medicine Indianapolis, IN, USA
- Indiana University Health Physicians Cardiology, IU Health Methodist Professional Center 2, Suite 4000, 1801 N Senate Blvd, Indianapolis, IN 46202, USA
- Indiana University Health Physicians Cardiac Electrophysiology, IU Health Methodist Professional Center 2, Suite 4000, 1801 N Senate Blvd, Indianapolis, IN 46202, USA
| | - Pantila V Bateman
- Division of Cardiovascular Medicine, Department of Cardiology, Indiana University School of Medicine Indianapolis, IN, USA
- Indiana University School of Medicine, Indianapolis, IN, USA
- Indiana University Health Physicians Cardiology, IU Health Methodist Professional Center 2, Suite 4000, 1801 N Senate Blvd, Indianapolis, IN 46202, USA
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