Int J Arrhythm.  2022 Sep;23(3):20. 10.1186/s42444-022-00072-0.

Dynamic changes of atrioventricular conduction during Covid‑19 infection: Does inflammation matter?

Affiliations
  • 1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia and Arrhythmia Division, National Cardiovascular Center Harapan Kita, Jalan S Parman Kav 87 Slipi, Jakarta 11420, Indonesia

Abstract

Background
The primary manifestation of COVID-19 infection was pulmonary involvement. However, it can also manifest as a cardiovascular problem.
Methods
We report a case of 82-year-old male COVID-19 patient who experienced atrioventricular (AV) conduction disturbance.
Results
The rhythm was degenerated from sinus rhythm to complete AV block. We observe dynamic AV node dysfunction associated with inflammatory response. His bundle pacing successfully captured distal His region.
Conclusion
The severe inflammatory response during COVID-19 infection might permanently damage cardiac conduction system resulted in a complete AV node block.

Keyword

COVID-19; Inflammatory; Complete AV block; His bundle pacing
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