Pediatrics, University of Minnesota Twin Cities, Minneapolis, Minnesota, USA.
Pediatrics, Hennepin Healthcare, Minneapolis, Minnesota, USA.
BMJ Case Rep. 2021 May 11;14(5):e242058. doi: 10.1136/bcr-2021-242058.
This report documents a case of sinus bradycardia in a hospitalised 27-month-old girl with a history of moderate persistent asthma, recent suspected viral respiratory infection and suspicion for multisystem inflammatory syndrome in children (MIS-C). This patient developed profound sinus bradycardia during her hospitalisation despite an overall well clinical appearance and good outcome. Reports of bradycardia related to COVID-19 infection are few but growing in number. In this article, we discuss what has been observed in the literature about bradycardia in relation to COVID-19 and MIS-C. We also propose sinus bradycardia as a potential sign of MIS-C with recent respiratory symptoms, which would warrant close follow-up of such patients.
本报告记录了一例 27 个月大的住院女孩窦性心动过缓的病例，该女孩既往有中度持续性哮喘、近期疑似病毒性呼吸道感染和儿童多系统炎症综合征（MIS-C）的可能。尽管该患者总体临床状况良好，预后良好，但在住院期间出现了严重的窦性心动过缓。有关 COVID-19 感染相关心动过缓的报告很少，但数量在不断增加。在本文中，我们讨论了文献中观察到的与 COVID-19 和 MIS-C 相关的心动过缓情况。我们还提出窦性心动过缓可能是近期有呼吸道症状的 MIS-C 的潜在征象，需要对这些患者进行密切随访。
