High-grade heart block requiring transvenous pacing associated with multisystem inflammatory syndrome in children during the COVID-19 pandemic
Michele Domico, Anthony C. McCanta, Juliette Hunt, Negar Ashouri, Diane J. Nugent, Robert B. Kelly
Abstract
Multisystem inflammatory syndrome in children (MIS-C) has recently been described in pediatric patients associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the coronavirus disease 2019 (COVID-19) pandemic.1–3 Although MIS-C is commonly associated with cardiovascular findings, the occurrence of arrhythmias is rare. We present the case of a pediatric patient who developed severe hemodynamic instability and high-grade heart block associated with MIS-C, requiring transvenous pacing.
Topics & Concepts
MedicineCoronavirus disease 2019 (COVID-19)PandemicSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakCardiologyCoronavirusInternal medicineHeart blockIntensive care medicineDiseaseElectrocardiographyVirologyInfectious disease (medical specialty)OutbreakKawasaki Disease and Coronary ComplicationsMechanical Circulatory Support DevicesCoronary Artery Anomalies