Shared this case a few months ago & given the amount of vaccine misinformation out there - I think it’s worth re sharing.
38 y/o patient presented with fatigue, 7 weeks s/p COVID +. *Before vax was available
(Shared with patient permission)
This patient has no pmhx
38 y/o patient presented with fatigue, 7 weeks s/p COVID +. *Before vax was available
(Shared with patient permission)
This patient has no pmhx
He experienced a mild case of COVID 7 weeks prior, with some sniffles. Over the following 7 weeks he began to feel more fatigued. He experienced some shortness of breath.
12 lead EKG: P waves marked by red arrows. Sinus rhythm, 3:1 AV conduction, RBBB QRS.
12 lead EKG: P waves marked by red arrows. Sinus rhythm, 3:1 AV conduction, RBBB QRS.
Unclear if the conducted PR interval is short or long (navy arrow options) - likely the longer one. A PVC marked by asterisk conceals retrograde into conduction system & delays next conducted QRS. (H/t @narrowQRS)
Heart block can occur from myocarditis (confirmed on CMR for this patient), which can happen with different viral infections, including COVID. The patient’s heart block required dual chamber pacemaker placement.
When we focus on the death rate of COVID, and ignore sequelae like this - we do a great disservice by minimizing the massive impact COVID has on the lives of many people - even those who are young & healthy.
Sometimes statistics don’t make an impression, but an individual patients case does.
This patient couldn’t wait to get vaccinated - he just had the unfortunate luck of getting COVID before vaccines were available.
This patient couldn’t wait to get vaccinated - he just had the unfortunate luck of getting COVID before vaccines were available.
Getting vaccinated is the best way to protect yourself 🙏❤️ #vaccineswork
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