Sinus bradycardia in a toddler with multisystem inflammatory syndrome in children (MIS-C) related to COVID-19

Tiana Chelsea Hallberg; Ashley Rebekah Bjorklund; Tina Marye Slusher; Nathan Rodgers

doi:10.1136/bcr-2021-242058

Sinus bradycardia in a toddler with multisystem inflammatory syndrome in children (MIS-C) related to COVID-19

BMJ Case Rep. 2021 May 11;14(5):e242058. doi: 10.1136/bcr-2021-242058.

Authors

Tiana Chelsea Hallberg¹, Ashley Rebekah Bjorklund^{1

2}, Tina Marye Slusher^{3

2}, Nathan Rodgers¹

Affiliations

¹ Pediatrics, University of Minnesota Twin Cities, Minneapolis, Minnesota, USA.
² Pediatrics, Hennepin Healthcare, Minneapolis, Minnesota, USA.
³ Pediatrics, University of Minnesota Twin Cities, Minneapolis, Minnesota, USA tslusher@umn.edu.

Abstract

This report documents a case of sinus bradycardia in a hospitalised 27-month-old girl with a history of moderate persistent asthma, recent suspected viral respiratory infection and suspicion for multisystem inflammatory syndrome in children (MIS-C). This patient developed profound sinus bradycardia during her hospitalisation despite an overall well clinical appearance and good outcome. Reports of bradycardia related to COVID-19 infection are few but growing in number. In this article, we discuss what has been observed in the literature about bradycardia in relation to COVID-19 and MIS-C. We also propose sinus bradycardia as a potential sign of MIS-C with recent respiratory symptoms, which would warrant close follow-up of such patients.

Keywords: COVID-19; arrhythmias; infections.

Publication types

Case Reports

MeSH terms

Bradycardia / etiology
COVID-19*
Child, Preschool
Female
Humans
SARS-CoV-2
Systemic Inflammatory Response Syndrome

Supplementary concepts

pediatric multisystem inflammatory disease, COVID-19 related