Asymptomatic Bradycardia in COVID-19: Premonition of a cytokine storm?

Cardiovascular manifestations of COVID-19 are of paramount importance. Given the increasing load of COVID-19 patients there has been an increase in the thromboembolic events as well as arrhythmias. Though the relationship of COVID-19 with arrhythmias is well studied, Sinus Bradycardia as a presentation of COVID-19 is rare. Here, we report a case of 45- year-old female who tested positive for COVID-19 following exposure to COVID and was completely asymptomatic with bradycardia. The patient later developed features like fever, cough and hypoxia indicating this bradycardia to be a premonition of inflammatory cytokine storm.