Various electrocardiographic (EKG) manifestations have been reported in patients with coronavirus disease 2019 (COVID-19). There is growing evidence showing that new onset QT-prolongation is a common EKG finding in COVID-19 patients. In this report, we present a case of a 71-year-old man who was found to have a new onset, irreversible, prolonged QT-interval requiring permanent biventricular pacemaker despite testing negative twice for RT-PCR COVID-19 and correction of all known reversible causes. To date, there are a limited number of reports of irreversible QT-prolongation associated with COVID-19. This case report emphasizes the importance of a physician’s clinical judgment in the setting of negative RT-PCR COVID-19 testing. A robust systemic inflammatory state seen in active COVID-19 infection is possibly the key mechanism precipitating the new EKG findings.
【저자키워드】 Coronavirus disease 2019, Cardiac pacemaker, QT-prolongation, RT-PCR COVID-19, 【초록키워드】 COVID-19, coronavirus disease, RT-PCR, Case report, COVID-19 testing, COVID-19 infection, Patient, mechanism, COVID-19 patients, Evidence, manifestation, QT-interval, causes, negative RT-PCR, robust, systemic inflammatory, reported, EKG, electrocardiographic, with COVID-19, 【제목키워드】 COVID-19, pacemaker, Onset, Prolonged, New, Permanent,