tetano
Editor, Senior Moderator
Intern Med
. 2024 Mar 4.
doi: 10.2169/internalmedicine.3324-23. Online ahead of print. Repeated Syncope Following COVID-19 Infection
Yoh Arita[SUP] 1 [/SUP], Kota Takaki[SUP] 1 [/SUP], Yuto Suetani[SUP] 1 [/SUP], Kana Shichijo[SUP] 1 [/SUP], Nobuyuki Ogasawara[SUP] 1 [/SUP]
Affiliations
A 74-year-old woman presented to our hospital with syncope after a coronavirus disease 2019 (COVID-19) infection. Upon admission, she passed out, and an 8-second sinus arrest was detected during telemetry monitoring. During the next syncope episode, telemetry monitoring showed that her heart rate decreased from 80 to 36 bpm, accompanied by a 2.4-second pause. A permanent pacemaker was implanted; however, the patient still experienced syncope. The head-up tilt test revealed a vasodepressor reflex syncope. The need for permanent pacemakers in patients with syncope following COVID-19 therefore remains controversial.
Keywords: COVID-19; pacemaker; reflex syncope; sick sinus syndrome; sinus arrest.
. 2024 Mar 4.
doi: 10.2169/internalmedicine.3324-23. Online ahead of print. Repeated Syncope Following COVID-19 Infection
Yoh Arita[SUP] 1 [/SUP], Kota Takaki[SUP] 1 [/SUP], Yuto Suetani[SUP] 1 [/SUP], Kana Shichijo[SUP] 1 [/SUP], Nobuyuki Ogasawara[SUP] 1 [/SUP]
Affiliations
- PMID: 38432984
- DOI: 10.2169/internalmedicine.3324-23
A 74-year-old woman presented to our hospital with syncope after a coronavirus disease 2019 (COVID-19) infection. Upon admission, she passed out, and an 8-second sinus arrest was detected during telemetry monitoring. During the next syncope episode, telemetry monitoring showed that her heart rate decreased from 80 to 36 bpm, accompanied by a 2.4-second pause. A permanent pacemaker was implanted; however, the patient still experienced syncope. The head-up tilt test revealed a vasodepressor reflex syncope. The need for permanent pacemakers in patients with syncope following COVID-19 therefore remains controversial.
Keywords: COVID-19; pacemaker; reflex syncope; sick sinus syndrome; sinus arrest.