Symptomatic Sinus Bradycardia due to Electrolyte Imbalances in SIADH related COVID-19 Muzakkir Amir (a), Andi Renata (a*), Levina (a)
(a) Department of Cardiology and Vascular Medicine
*Jalan Perintis kemerdekaan, KM 10, Makassar, South Sulawesi
muzakkir[at]unhas.ac.id
ORCID ID : 0000-0002-4914-3542
Abstract
Objective: This paper aims to describe an atypical manifestation of COVID-19 in female: near syncope due to sinus bradycardia.
Method: -
Result: Coronavirus Disease-2019 (COVID-19) has been declared a global pandemic since March 11th, 2020. Despite emerging reports and literatures covering a wide spectrum of COVID-19 clinical manifestations, facets of COVID-19 have not been fully elucidated. To our concern, sinus bradycardia as a manifestation of COVID-19-induced syndrome of inappropriate antidiuretic hormone (SIADH) has never been reported before. In this paper, we report a case of 59-year-old female patient with confirmed COVID-19 initially presented with presyncope. Further investigations reveal sinus bradycardia related to COVID-19-induced SIADH. This case highlights the possibility of immuno-neuroendocrino-cardiovascular crosstalk resulting in an atypical manifestation of COVID-19: near syncope due to sinus bradycardia.
Conclusion: Other possible cause of sinus bradycardia in COVID-19 is electrolyte imbalance due to COVID-19-related SIADH
