Dynamic changes of atrioventricular conduction during Covid-19 infection: Does inflammation matter?

Int J Arrhythmia. 2022;23(1):20. doi: 10.1186/s42444-022-00072-0. Epub 2022 Aug 1.


Background: The primary manifestation of COVID-19 infection was pulmonary involvement. However, it can also manifest as a cardiovascular problem.

Methods: We report a case of 82-year-old male COVID-19 patient who experienced atrioventricular (AV) conduction disturbance.

Results: The rhythm was degenerated from sinus rhythm to complete AV block. We observe dynamic AV node dysfunction associated with inflammatory response. His bundle pacing successfully captured distal His region.

Conclusion: The severe inflammatory response during COVID-19 infection might permanently damage cardiac conduction system resulted in a complete AV node block.

Keywords: COVID-19; Complete AV block; His bundle pacing; Inflammatory.

Publication types

  • Case Reports