A Rare Case of Transient High-grade AV Block due to Covid-19

Vyom Mori, Arun Mohanty, Ashish Jain, Dipak Katare, Aman Makhija

Vyom Mori, Arun Mohanty, Ashish Jain, Dipak Katare, Aman Makhija

Keywords: Covid-19, AV block, spontaneous recovery

Abstract

The involvement of various systems with Covid-19 manifestation ranging from asymptomatic to sudden cardiac arrest have been reported. Cardiovascular complications are the most dreadful ones as they can lead to further decompensation of patient and decrease the chances of recovery. Arrhythmic tendencies increase with the severity of covid illness. More frequently are the tachyarrhythmias including atrial fibrillation, sinus tachycardia and ventricular ectopic. We report such a case of covid induced high-grade atrioventricular block that was transient with spontaneous recovery after the waiting period.

References

1. World Health Organization. Coronavirus Disease (COVID-19) Situation Reports. https://www.who.int/docs/ default-source/coronaviruse/ situation-reports/20200404- sitrep- 75-covid-19.pdf?sfvrsn=99251b2b_2. Accessed April 5, 2020.
2. Fried JA, Ramasubbu K, Bhatt R, Topkara VK, Clerkin KJ, Horn E, Rabbani L, Brodie D, Jain SS, Kirtane A, et al. The variety of cardiovascular presentations of COVID-19. Circulation. 2020;141:1930–1936.
3. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323:1061–1069.