Complete AV Block in Vaccinated COVID-19 Patient
An 84-year-old male with a history of coronary artery disease, hypertension, and hyperlipidemia presented to an urgent care in with body aches, malaise, fatigue, and dyspnea for three days - six months after receiving second doze of Pfizer vaccine. No other infectious symptoms were endorsed. H e denied any symptoms of lightheadedness, dizziness, palpitations, orthopnea, and chest pain. At the outside facility, he was found to be bradycardic with a complete AV block. Total of atropine 1.0 mg was administered at that encounter. Afterwards, the patient went into a supraventricular tachycardia briefly with spontaneous return to a complete AV block. He was placed on transcutaneous pacing. His previously known heart rate ranged between 77 and 99 and a visit to his cardiologist a week prior reveled no abnormalities. Prior PR interval was 128. He had no history of tobacco, alcohol, or drug use. A possible culprit home medication was atenolol 50 mg daily which he reported taking as i...