Rationale:COVID-19 has a wide range of clinical presentations requiring a high index of suspicion for diagnosing patients presenting with extrapulmonary manifestations.Among them,patients with cardiovascular involveme...Rationale:COVID-19 has a wide range of clinical presentations requiring a high index of suspicion for diagnosing patients presenting with extrapulmonary manifestations.Among them,patients with cardiovascular involvement have a high mortality.Patient’s concerns:A 50-year-old male patient with COVID-19 infection presented with multiple syncopal episodes,myalgia,and mild respiratory symptoms.Diagnosis:Mild COVID-19 infection with complete heart block.Interventions:Temporary pacing followed by permanent pacemaker insertion 10 days after the onset.Outcomes:The patient was managed as per COVID-19 protocol in an isolation ward,and his condition improved but remained pacemaker dependent until a repeat RT-PCR for COVID-19 tested negative,after which he was shifted back to the cardiac care unit for permanent pacemaker insertion.The patient was discharged after inflammatory markers were normal and clinical condition was completely stable.Lessons:COVID-19 has a wide range of clinical presentations,and extrapulmonary manifestations,especially,cardiovascular involvement can not be ignored.展开更多
文摘Rationale:COVID-19 has a wide range of clinical presentations requiring a high index of suspicion for diagnosing patients presenting with extrapulmonary manifestations.Among them,patients with cardiovascular involvement have a high mortality.Patient’s concerns:A 50-year-old male patient with COVID-19 infection presented with multiple syncopal episodes,myalgia,and mild respiratory symptoms.Diagnosis:Mild COVID-19 infection with complete heart block.Interventions:Temporary pacing followed by permanent pacemaker insertion 10 days after the onset.Outcomes:The patient was managed as per COVID-19 protocol in an isolation ward,and his condition improved but remained pacemaker dependent until a repeat RT-PCR for COVID-19 tested negative,after which he was shifted back to the cardiac care unit for permanent pacemaker insertion.The patient was discharged after inflammatory markers were normal and clinical condition was completely stable.Lessons:COVID-19 has a wide range of clinical presentations,and extrapulmonary manifestations,especially,cardiovascular involvement can not be ignored.
