We report the case of a 35-year-old man (an oil engineer) referred as a coronavirus disease-2019 (COVID-19) case with
heart block and a four-day history of
headache and
fever. The patient was hemodynamically stable with normal respiratory effort and oxygen saturation. Three consecutive
COVID-19 tests were positive since admission. Comprehensive clinical assessment investigations were performed. Apart from mild
acute phase reactants elevation, all results were within reference limits. He had no
leukocytosis and normal cardiac
enzymes, chest x-ray findings, echocardiography findings, and healthy coronary arteries. The patient had a
fever and electrocardiographic evidence of
sinus node dysfunction associated with Mobitz type 2
atrioventricular block that progressed to complete
heart block. This was a unique presentation of
COVID-19 in a young, otherwise healthy man with the sole manifestation confined to the cardiac conduction system and the absence of respiratory involvement,
hypoxemia, and
acidosis.