Prehospital Sinus Node Dysfunction and Asystole in a Previously Healthy Patient with COVID-19.
Megan PowellBrad WardRobert DicksonCasey PatrickPublished in: Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors (2021)
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.
Keyphrases
- sars cov
- coronavirus disease
- respiratory syndrome coronavirus
- cardiac arrest
- case report
- oxidative stress
- healthcare
- left ventricular
- pulmonary embolism
- squamous cell carcinoma
- heart rate
- blood pressure
- heart rate variability
- emergency department
- congenital heart disease
- intensive care unit
- risk assessment
- neoadjuvant chemotherapy
- rectal cancer
- climate change
- extracorporeal membrane oxygenation