An Infant with Congenital Heart Block and SARS-CoV-2 Infection: Challenges in Diagnosis and Management
Suresh K Angurana, Ashish Agarwal, Atit A Gawalkar, Vivek Jaswal, Vishnu Koneru, TK Kavitha, Manoj K Rohit, Goverdhan D Puri, Muralidharan Jayashree
Citation Information :
Angurana SK, Agarwal A, Gawalkar AA, Jaswal V, Koneru V, Kavitha T, Rohit MK, Puri GD, Jayashree M. An Infant with Congenital Heart Block and SARS-CoV-2 Infection: Challenges in Diagnosis and Management. J Postgrad Med Edu Res 2022; 56 (1):34-36.
The coronavirus disease-2019 (COVID-19) pandemic posed a major challenge for delivery of health care services especially for non-COVID-19 related diseases. We present a 1-year-old girl who was symptomatic for last 3 months with recurrent myoclonic jerks, the cause for which could not be evaluated due to lockdown and disruption of healthcare services. She presented to us with complete heart block, cardiogenic shock, and acute kidney injury. The management included mechanical ventilation, placement of an internal jugular venous and peritoneal catheter, insertion of transvenous pacing lead, and later on an epicardial permanent pacemaker implantation.
Baruteau AE, Pass RH, Thambo JB, et al. Congenital and childhood atrioventricular blocks: pathophysiology and contemporary management. Eur J Pediatr 2016;175(9):1235–1248. DOI: 10.1007/s00431-016-2748-0
Johnson B. Overview of neonatal lupus. J Pediatr Health Care 2014;28(4):331–341. DOI: 10.1016/j.pedhc.2013.07.015
Bergfeldt L. Differential diagnosis of cardiogenic syncope and seizure disorders. Heart 2003;89(3):353–358. DOI: 10.1136/heart.89.3.353
World Health Organization Preliminary results: rapid assessment of service delivery for noncommunicable diseases during the COVID-19 pandemic. 29 May 2020. https://www.who.int/who-documents-detail/rapid-assessment-of-service- delivery-for-ncds-during-thecovid-19-pandemic
Chauhan V, Galwankar S, Arquilla B, et al. Novel coronavirus (COVID-19): leveraging telemedicine to optimize care while minimizing exposures and viral transmission. J Emerg Trauma Shock 2020;13(1):20–24. DOI:10.4103/JETS.JETS_32_20
Maves RC, Downar J, Dichter JR, et al. Triage of scarce critical care resources in COVID-19 an implementation guide for regional allocation: an expert panel report of the task force for mass critical care and the American College of Chest Physicians. Chest 2020;158(1):212–225. DOI: 10.1016/j.chest.2020.03.063
World Health Organization Rational use of personal protective equipment for Coronavirus Disease 2019 (COVID-19) and considerations during severe shortages. 2020. https://apps.who.int/iris/bitstream/handle/10,665/331,215/WHO-2019-nCov-IPCPPE_use2020.1-eng.pdf
Ministry of Health and Family Welfare, Directorate General of Health Sciences. Novel Coronavirus Disease 2019 (COVID-19): Guidelines on rational use of Personal Protective Equipment. https://www.mohfw.gov.in/pdf/GuidelinesonrationaluseofPersonalProtectiveEquipment.pdf
Benítez CY, Güemes A, Aranda J, et al. Impact of personal protective equipment on surgical performance during the COVID-19 pandemic. World J Surg 2020;44(9):2842–2847. DOI: 10.1007/s00268-020-05648-2