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Novel Behavior of the 2019 Novel Coronavirus With Invasion of the Cardiac Conduction System in the Young
We report the case of a 35-year-old man (an oil engineer) referred as a coronavirus disease-2019 (COVID-19) case with heart block and a four-day history of headache and fever. The patient was hemodynamically stable with normal respiratory effort and oxygen saturation. Three consecutive COVID-19 test...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682544/ https://www.ncbi.nlm.nih.gov/pubmed/33240711 http://dx.doi.org/10.7759/cureus.11115 |
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author | Alabdulgader, Abdullah A Alabdulgader, Abdulrhman Sungur, Metin Essa, Hesham Al Khamees, Khalid |
author_facet | Alabdulgader, Abdullah A Alabdulgader, Abdulrhman Sungur, Metin Essa, Hesham Al Khamees, Khalid |
author_sort | Alabdulgader, Abdullah A |
collection | PubMed |
description | We report the case of a 35-year-old man (an oil engineer) referred as a coronavirus disease-2019 (COVID-19) case with heart block and a four-day history of headache and fever. The patient was hemodynamically stable with normal respiratory effort and oxygen saturation. Three consecutive COVID-19 tests were positive since admission. Comprehensive clinical assessment investigations were performed. Apart from mild acute phase reactants elevation, all results were within reference limits. He had no leukocytosis and normal cardiac enzymes, chest x-ray findings, echocardiography findings, and healthy coronary arteries. The patient had a fever and electrocardiographic evidence of sinus node dysfunction associated with Mobitz type 2 atrioventricular block that progressed to complete heart block. This was a unique presentation of COVID-19 in a young, otherwise healthy man with the sole manifestation confined to the cardiac conduction system and the absence of respiratory involvement, hypoxemia, and acidosis. |
format | Online Article Text |
id | pubmed-7682544 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-76825442020-11-24 Novel Behavior of the 2019 Novel Coronavirus With Invasion of the Cardiac Conduction System in the Young Alabdulgader, Abdullah A Alabdulgader, Abdulrhman Sungur, Metin Essa, Hesham Al Khamees, Khalid Cureus Cardiology We report the case of a 35-year-old man (an oil engineer) referred as a coronavirus disease-2019 (COVID-19) case with heart block and a four-day history of headache and fever. The patient was hemodynamically stable with normal respiratory effort and oxygen saturation. Three consecutive COVID-19 tests were positive since admission. Comprehensive clinical assessment investigations were performed. Apart from mild acute phase reactants elevation, all results were within reference limits. He had no leukocytosis and normal cardiac enzymes, chest x-ray findings, echocardiography findings, and healthy coronary arteries. The patient had a fever and electrocardiographic evidence of sinus node dysfunction associated with Mobitz type 2 atrioventricular block that progressed to complete heart block. This was a unique presentation of COVID-19 in a young, otherwise healthy man with the sole manifestation confined to the cardiac conduction system and the absence of respiratory involvement, hypoxemia, and acidosis. Cureus 2020-10-23 /pmc/articles/PMC7682544/ /pubmed/33240711 http://dx.doi.org/10.7759/cureus.11115 Text en Copyright © 2020, Alabdulgader et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Alabdulgader, Abdullah A Alabdulgader, Abdulrhman Sungur, Metin Essa, Hesham Al Khamees, Khalid Novel Behavior of the 2019 Novel Coronavirus With Invasion of the Cardiac Conduction System in the Young |
title | Novel Behavior of the 2019 Novel Coronavirus With Invasion of the Cardiac Conduction System in the Young |
title_full | Novel Behavior of the 2019 Novel Coronavirus With Invasion of the Cardiac Conduction System in the Young |
title_fullStr | Novel Behavior of the 2019 Novel Coronavirus With Invasion of the Cardiac Conduction System in the Young |
title_full_unstemmed | Novel Behavior of the 2019 Novel Coronavirus With Invasion of the Cardiac Conduction System in the Young |
title_short | Novel Behavior of the 2019 Novel Coronavirus With Invasion of the Cardiac Conduction System in the Young |
title_sort | novel behavior of the 2019 novel coronavirus with invasion of the cardiac conduction system in the young |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682544/ https://www.ncbi.nlm.nih.gov/pubmed/33240711 http://dx.doi.org/10.7759/cureus.11115 |
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