Table 1.
Patient | Age (year) | Sex | Relevant past medical history | Initial clinical presentation | Relevant laboratory results on admission | Findings on admission EKG | Days between COVID-19 diagnosis and onset of persistent bradycardia | Findings on EKG(s) after onset of persistent bradycardia |
---|---|---|---|---|---|---|---|---|
1 | 45 | Male | Hypertension | Weakness, shortness of breath, and dizziness | Troponin: <0.012 Potassium: 3.6 Creatinine: 0.7 TSH: 0.205 |
Sinus tachycardia; intervals within normal limits; no conduction system blocks | 10 days | Hospital day 4: Sinus bradycardia; intervals within normal limits; no conduction system blocks |
2 | 34 | Female | Type II diabetes mellitus | Shortness of breath | Troponin: <0.012 Potassium: 4.0 Creatinine: 0.8 TSH: 0.515 |
Sinus tachycardia; intervals within normal limits; no conduction system blocks | 9 days | Hospital day 8: Sinus bradycardia; intervals within normal limits; no conduction system blocks |
3 | 60 | Female | Hypertension, hypothyroidism, type II diabetes mellitus | Shortness of breath, cough, fever, myalgias | Troponin: <0.012 Potassium: 4.2 Creatinine: 0.7 TSH: 0.667 |
Normal sinus rhythm; intervals within normal limits; no conduction system blocks | 6 days | Hospital days 3, 4, & 6: Sinus bradycardia; intervals within normal limits; no conduction system blocks |
4 | 67 | Female | Hypertension, hypothyroidism, deep vein thrombosis, anxiety disorder | Shortness of breath, cough, fever | Troponin: <0.012 Potassium: 4.1 Creatinine: 0.5 TSH: 0.139 |
Normal sinus rhythm; intervals within normal limits; no conduction system blocks | 12 days | Hospital day 6: Sinus bradycardia; intervals within normal limits; no conduction system blocks |
5 | 54 | Male | Hypertension, obstructive sleep apnea | Shortness of breath | Troponin: <0.012 Potassium: 4.1 Creatinine: 0.5 TSH: 0.508 |
Normal sinus rhythm; intervals within normal limits; no conduction system blocks | 8 days | Hospital day 10: Sinus bradycardia; intervals within normal limits; no conduction system blocks Hospital day 15: Sinus bradycardia; prolonged QT/QTc interval (482/477 milliseconds); no conduction system blocks |
6 | 41 | Male | Hypertension, obesity | Shortness of breath | Troponin: <0.012 Potassium: 4.9 Creatinine: 0.6 TSH: NA |
Normal sinus rhythm; intervals within normal limits; no conduction system blocks | 9 days | Hospital day 4: Sinus bradycardia; intervals within normal limits; right bundle branch block, left posterior fascicular block Hospital day 8 (discharge day): Sinus bradycardia; intervals within normal limits; no conduction system blocks |