Prehospital Sinus Node Dysfunction and Asystole in a Previously Healthy Patient with COVID-19. (4th May 2022)

• Record Type: Journal Article
• Authors: Powell, Megan; Ward, Brad; Dickson, Robert; Patrick, Casey
• Is Part Of: Prehospital emergency care. Volume 26:Number 3(2022)
• Page Start: 450
• Page End: 454
• Publication Date: 2022-05-04
• Subjects: EMS -- COVID-19 -- asystole -- bradycardia; 362.18
• DOI: 10.1080/10903127.2021.1924325
• Languages: English
• ISSNs: 1090-3127

Abstract

Abstract: We report a case of a previously healthy 47-year-old female with syncope due to multiple episodes of nodal dysfunction and asystole. During these brief episodes, she was hypoxic in the mid-80's as a result of COVID-19 pneumonia. The patient was admitted and treated for viral pneumonia and found to have normal electrocardiograms (ECG's), normal troponin levels and a normal echocardiogram during her hospital stay. As she recovered from COVID-19, no further episodes of bradycardia or bradyarrhythmia were noted. This case highlights a growing body of evidence that arrhythmias, specifically bradycardia, should be anticipated by prehospital providers as a potential cardiac complication of SARS-CoV-2 infection.