• Internal medicine · May 2024

    Case Reports

    Repeated Syncope Following COVID-19 Infection.

    • Yoh Arita, Kota Takaki, Yuto Suetani, Kana Shichijo, and Nobuyuki Ogasawara.
    • Department of Cardiology, Japan Community Healthcare Organization (JCHO) Osaka Hospital, Japan.
    • Intern. Med. 2024 May 15; 63 (10): 139513981395-1398.

    AbstractA 74-year-old woman presented to our hospital with syncope after a coronavirus disease 2019 (COVID-19) infection. Upon admission, she passed out, and an 8 second sinus arrest was detected during telemetry monitoring. During the next syncope episode, telemetry monitoring showed that her heart rate decreased from 80 to 36 bpm, accompanied by a 2.4 second pause. A permanent pacemaker was implanted; however, the patient still experienced syncope. The head-up tilt test revealed a vasodepressor reflex syncope. The need for permanent pacemakers in patients with syncope following COVID-19 therefore remains controversial.

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