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Advanced atrioventricular block and extreme bradycardia as initial symptoms of Covid-19: A case report

Abstract:

We are experiencing the pandemic generated by the beta coronavirus SARS-CoV-2; its clinical manifestations are mainly respiratory. However, some patients could debut with clinical symptoms other than respiratory, for example, gastrointestinal (diarrhea); Sensory changes in taste and smell (anosmia, dysgeusia), and cardiovascular (arrhythmias, sudden cardiac death, conduction disorders), thus leaving the typical presentation. Cardiovascular symptoms, and specifically cardiac disturbances, could be caused by an increased number of angiotensin-converting enzyme 2 (ACE2) receptors, which is the site of binding of the virus to human cells. We present a case with a confirmed diagnosis of COVID -19, of an older adult patient with cardiovascular comorbidity, debuting with arrhythmias and heart block.