High-degree atrioventricular block in COVID-19 hospitalized patients

Author:

Dagher Lilas1,Wanna Bassam1,Mikdadi Ghiath2,Young Monique3,Sohns Christian4ORCID,Marrouche Nassir F1

Affiliation:

1. Tulane University, Heart and Vascular Institute, New Orleans, LA 70112, USA

2. North Oaks Medical Center, Hammond, LA 70403, USA

3. Louisiana Heart Center, Chalmette, LA 70403, USA

4. Clinic for Electrophysiology, Herz-und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen D32545, Germany

Abstract

Abstract Aims The novel coronavirus SARS-CoV-2 has shown the potential to significantly affect the cardiovascular system. Cardiac arrhythmias are commonly reported complications in COVID-19 hospitalized patients. Methods and results While tachyarrhythmias seem most common, we describe four cases of COVID-19 patients who developed a transient high-degree atrioventricular (AV) block during the course of their hospitalization. All four patients who developed a high-degree AV block during their hospitalization with COVID-19 did not require permanent pacing. Conclusion Similarly to most AV blocks associated with infectious organisms and given its transient nature, this case series suggests that conservative management strategies should be preferred in COVID-19 patients who develop complete heart block.

Publisher

Oxford University Press (OUP)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference23 articles.

1. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19);Guo;JAMA Cardiol,2020

2. Coronaviruses and the cardiovascular system: acute and long-term implications;Xiong;Eur Heart J

3. COVID-19 and the cardiovascular system;Zheng;Nat Rev Cardiol,2020

4. COVID-19 pandemic and cardiovascular disease;Rali;US Cardiol Rev,2020

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