Symptomatic sinus bradycardia due to electrolyte imbalances in syndrome of inappropriate antidiuretic hormone (SIADH) related covid-19: a case report

• الحاوية / القاعدة: BMC Infectious Diseases
• المؤلفون الرئيسيون: Muzakkir Amir, Andi Renata, Levina Tri Ratana
• التنسيق: مقال
• اللغة: الإنجليزية
• منشور في: BMC 2021-05-01
• الموضوعات: Symptomatic sinus bradycardia; Electrolyte imbalances; SIADH; COVID-19
• الوصول للمادة أونلاين: https://doi.org/10.1186/s12879-021-06143-2

Abstract Background Coronavirus Disease-2019 (COVID-19) has been declared a global pandemic since March 11th, 2020. Despite emerging reports and literature covering a broad spectrum of COVID-19 clinical manifestations, facets of COVID-19 have not been fully elucidated. To the authors’ concern, sinus bradycardia as a manifestation of COVID-19-induced syndrome of inappropriate antidiuretic hormone (SIADH) has never been reported before. Case presentation In this paper, we report a case of a 59-year-old male 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. Conclusions Another possible cause of sinus bradycardia in COVID-19 is electrolyte imbalance due to COVID-19-related SIADH.