A case report of unusually long episodes of asystole in a severe COVID-19 patient treated with a leadless pacemaker. Issue Volume 4:Issue FI1(2020)Special Issue (30th July 2020)

• Record Type: Journal Article
• Authors: Cakulev, Ivan; Sahadevan, Jayakumar; Osman, Mohammed Najeeb
• Editors: Abumuaileq, Rami Riziq Yousef; Ang, Richard; Vizzari, Giampiero; Camm, Christian Fielder; Thomson, Ross
• Is Part Of: European heart journal. Volume 4:Issue FI1(2020)Special Issue
• Page Start: 1
• Page End: 6
• Publication Date: 2020-07-30
• Subjects: Case report -- COVID-19 -- Asystole -- Leadless pacemaker -- Atrial fibrillation -- Atrioventricular block; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/ytaa238
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: Background: Experience has been emerging about cardiac manifestations of COVID-19-positive patients. The full cardiac spectrum is still unknown, and management of these patients is challenging. Case summary: We report a COVID-19 patient who developed unusually long asystolic pauses associated with atriventricular block (AV) block and atrial fibrillation who underwent leadless pacemaker implantation. Discussion: Asystole may be a manifestation of COVID-19 infection. A leadless pacemaker is a secure remedy, with limited requirements for follow-up, close interactions, and number of procedures in a COVID-19 patient.