A Case Report of Unusually Long Episodes of Asystole in a Severe COVID-19 Patient Treated with a Leadless Pacemaker
Overview
Affiliations
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.
A Case of Sick Sinus Syndrome With Prolonged Asystole Masquerading as a Transient Ischemic Attack.
Rathore A, Gupta N, Wu E, Suryanarayana P, Catanzaro J Cureus. 2023; 15(2):e35465.
PMID: 36999106 PMC: 10043347. DOI: 10.7759/cureus.35465.
Asystole in a COVID-19 patient without systemic illness: a case report.
Needleman J, Anderson W, Gray M, Tanawuttiwat T, Bateman P Oxf Med Case Reports. 2022; 2022(3):omac014.
PMID: 35316994 PMC: 8931820. DOI: 10.1093/omcr/omac014.
Characteristics of bradyarrhythmia in patients with COVID-19: Systematic scoping review.
Nagamine T, Randhawa S, Nishimura Y, Huang R, Leesutipornchai T, Benavente K Pacing Clin Electrophysiol. 2022; 45(4):556-566.
PMID: 35182433 PMC: 9115401. DOI: 10.1111/pace.14466.
Tovia-Brodie O, Rav Acha M, Belhassen B, Gasperetti A, Schiavone M, Forleo G Heart Rhythm. 2021; 19(2):206-216.
PMID: 34710561 PMC: 8547796. DOI: 10.1016/j.hrthm.2021.10.020.
Asystole in COVID-19 Infection: A Case Report.
Manchandani U, Anwar S, Acharya S, Thapa S, Elsayegh D, Anwar M Cureus. 2021; 13(7):e16346.
PMID: 34395127 PMC: 8357456. DOI: 10.7759/cureus.16346.