Complete Heart Block in a Patient with COVID-19 Pneumonia

Abstract

There are multiple reports linking between acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and arrhythmias. Sinus tachycardia is commonly seen in patients with SARS-CoV-2. However, some patients go on to develop heart block which might consequently lead to cardiac arrest. We present a case of a 51-year-old male patient who presented to our county hospital with fever, shortness of breath, lethargy and dizziness on a background of asthma. The patient was found to have COVID-19 pneumonia and the initial electrocardiogram (ECG) showed third degree heart block. The patient was subsequently treated with antibiotics, supportive care and permanent pacemaker placement.