Atrial para-systole as a late presentation in an infant with covid myocarditis

Myocarditis has been reported as a presentation of COVID 19 in children. Cardiac tissue inflammation could enhance the automaticity of the cells and develop different types of arrhythmias. Atrial para-systole is a very rare type of arrhythmia mostly observed in patients with right isomerism or post-cardiac transplantation. Whereas, we report atrial para-systole arrhythmia in an infant with normal cardiac and visceral anatomy which is affected by COVID-19 and presented with tachycardia and heart failure.