Author + information
- Received May 12, 2020
- Revision received May 22, 2020
- Accepted May 29, 2020
- Published online July 15, 2020.
- Giuliana Cimino, MD∗ (, )
- Greta Pascariello, MD,
- Nicola Bernardi, MD,
- Emiliano Calvi, MD,
- Gianmarco Arabia, MD,
- Francesca Salghetti, MD,
- Luca Bontempi, MD,
- Enrico Vizzardi, MD,
- Marco Metra, MD and
- Antonio Curnis, MD
- Department of Medical and Surgical Specialties, Institute of Cardiology, University of Brescia, Brescia, Italy
- ↵∗Address for correspondence:
Dr. Giuliana Cimino, Institute of Cardiology, Spedali Civili, Piazzale Spedali Civili 1, Brescia BS 25123, Italy.
A 34-year-old man was admitted with acute lung injury and COVID-19 pneumonia. In the intensive care unit, he experienced episodes of prolonged asystole accompanied by hypotension without loss of consciousness. Once reversible causes were excluded, symptoms were related to dysfunction of the sinus node, and the patient underwent implantation of a pacemaker. (Level of Difficulty: Beginner.)
- bradycardia-tachycardia syndrome
- sick sinus dysfunction
- sinus node dysfunction
Dr. Metra has received personal fees from Abbott Vascular, Amgen, Bayer, Edwards Therapeutics, and Vifor Pharma. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
The authors attest they are in compliance with human studies committees and animal welfare regulations of the authors’ institutions and Food and Drug Administration guidelines, including patient consent where appropriate. For more information, visit the JACC: Case Reports author instructions page.
- Received May 12, 2020.
- Revision received May 22, 2020.
- Accepted May 29, 2020.
- 2020 The Authors