Complete Heart Block, Severe Ventricular Dysfunction, and Myocardial Inflammation in a Child With COVID-19 Infection
Iqbal El-Assaad, M. Indriati Hood-Pishchany, John N. Kheir, Kshitij P. Mistry, Avika Dixit, Olha Halyabar, Douglas Y. Mah, Colin Meyer-Macaulay, Henry Cheng
Abstract
A young child presented with severe ventricular dysfunction and troponin leak in the setting of coronavirus disease-2019. He developed intermittent, self-resolving, and hemodynamically insignificant episodes of complete heart block that were diagnosed on telemetry and managed conservatively. This report is the first description of coronavirus disease-2019–induced transient complete heart block in a child. (Level of Difficulty: Intermediate.)
Topics & Concepts
MedicineCardiologyHeart blockInternal medicineCoronavirus disease 2019 (COVID-19)TroponinCoronavirusTroponin IHeart diseaseBlock (permutation group theory)DiseaseElectrocardiographyInfectious disease (medical specialty)Myocardial infarctionGeometryMathematicsCOVID-19 Clinical Research StudiesLong-Term Effects of COVID-19Infectious Encephalopathies and Encephalitis