Volume 25, Issue 112, June 2021

Asymptomatic Bradycardia in COVID-19: Premonition of a cytokine storm?

Dhruv Talwar¹, Sunil Kumar^2♦, Sourya Acharya³, Ayush Dubey¹, Vidyashree Hulkoti¹

¹Post Graduate Resident, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences and Research (Deemed to be university), Wardha, Maharastra, India
²Professor, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences and Research (Deemed to be university), Wardha, Maharastra, India
³Professor and HOD, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences and Research (Deemed to be university), Wardha, Maharastra, India

^♦Corresponding author
Professor, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences and Research (Deemed to be university), Wardha, Maharastra, India

ABSTRACT

Cardiovascular manifestations of COVID-19 are of paramount importance. Given the increasing load of COVID-19 patients there has been an increase in the thromboembolic events as well as arrhythmias. Though the relationship of COVID-19 with arrhythmias is well studied, Sinus Bradycardia as a presentation of COVID-19 is rare. Here, we report a case of 45- year-old female who tested positive for COVID-19 following exposure to COVID and was completely asymptomatic with bradycardia. The patient later developed features like fever, cough and hypoxia indicating this bradycardia to be a premonition of inflammatory cytokine storm.

Keywords: Bradycardia, COVID-19, Cytokine storm

Medical Science, 2021, 25(112), 1291-1294

PDF