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

Main Authors: Amir, Muzakkir, Renata, Andi, Tri Ratana, Levina
Format: Article PeerReviewed Book
Bahasa: eng
Terbitan: , 2021
Subjects:
Online Access: http://repository.unhas.ac.id/id/eprint/4781/
Daftar Isi:
  • 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.