Needleman, Joseph S.Anderson, Wesley L.Gray, Mitchell T.Tanawuttiwat, TanyaBateman, Pantila V.2023-05-162023-05-162022-03-16Needleman JS, Anderson WL, Gray MT, Tanawuttiwat T, Bateman PV. Asystole in a COVID-19 patient without systemic illness: a case report. Oxf Med Case Reports. 2022;2022(3):omac014. Published 2022 Mar 16. doi:10.1093/omcr/omac014https://hdl.handle.net/1805/33024There is growing evidence that patients with severe systemic illness from coronavirus disease 2019 (COVID-19) are at risk for developing a variety of cardiac arrhythmias. Less is known about patients with milder symptoms. Here, we report on the case of a 62-year-old male, admitted to the hospital following an episode of syncope, who experienced multiple episodes of cardiac arrest due to asystole lasting up to 30 seconds. History revealed a recent asymptomatic COVID-19 infection, and recurrent episodes of prolonged asystole necessitated permanent pacemaker placement. To our knowledge, this is the first report of an asymptomatic COVID-19 patient experiencing prolonged asystole. Cardiac arrhythmias in asymptomatic or oligosymptomatic COVID-19 patients may be underestimated.en-USAttribution-NonCommercial 4.0 InternationalCardiac arrhythmiasCOVID-19Cardiac arrestAsystoleArticle