January 2021 Br J Cardiol 2021;28:39 doi:10.5837/bjc.2021.003
Apurva H Bharucha, Ritesh Kanyal, James W Aylward, Parthipan Sivakumar, Ian Webb
Case A 21-year-old man with a background of trisomy 21, previous cardiac surgery and cardiac resynchronisation therapy-pacemaker (CRT-P) was admitted with a one-week history of pleuritic chest pain, dyspnoea and non-productive cough. Cardiac surgery and CRT-P implantation was undertaken in the Middle East, the precise details of which were unavailable. Admission chest radiograph (figure 1A) revealed features suggestive of coronavirus disease 2019 (COVID-19), which was confirmed on nasopharyngeal swab. Electrocardiography (ECG) revealed sinus tachycardia with biventricular pacing markers. Other than an elevated troponin T (225 ng/L; normal ra
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