Key result
SARS-CoV-2 infection is linked to persistent complete heart block requiring permanent dual-chamber pacing.
Why the study?
The persistence of complete heart block symptoms post-COVID-19 resolution and the need for permanent pacing suggest a potential association between COVID-19 and complete heart block that requires further investigation.
Case Report (n=1)
No
COVID-19 infection may induce persistent complete heart block requiring permanent pacemaker implantation, even in patients without pre-existing cardiovascular comorbidities.
May warrant extended rhythm monitoring after COVID-19 even in healthy patients; leaves open true incidence of persistent block and need for prospective data.
There is an increased risk of cardiac complications in COVID-19 among patients with pre-existing comorbidities due to their existing pro-inflammatory status. The manifestation of complete heart block has been evidenced as transient and in no need of intervention. This case presents a previously healthy woman who was diagnosed with SARS-CoV-2 infection and complete heart block; she underwent permanent dual-chamber pacemaker implantation after successful treatment and a negative COVID-19 test. She was then discharged from the hospital with an uneventful follow-up. Persistence of complete heart block symptoms post-COVID-19 resolution and the need for permanent pacing indicate a potential association between COVID-19 and complete heart block. Healthcare workers should consider electrographic examination in the initial assessment of suspected COVID-19 cases, even among those with no pre-existing conditions. This report highlights the need for further research to explore the relationship between COVID-19 and complete heart block.
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Ibrahim et al. (2025) conducted a case report in COVID-19 and Complete Heart Block (n=1). SARS-CoV-2 infection was evaluated on Resolution of heart block or need for permanent pacing. A previously healthy 63-year-old woman developed persistent complete heart block following SARS-CoV-2 infection, necessitating a permanent dual-chamber pacemaker implantation.
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