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Prognostic value of right ventricular strain pattern on ECG in COVID-19 patients.
Barman, Hasan Ali; Atici, Adem; Sahin, Irfan; Dogan, Omer; Okur, Onur; Tugrul, Sevil; Avci, Ilker; Yildirmak, Mustafa Taner; Gungor, Baris; Dogan, Sait Mesut.
  • Barman HA; Istanbul University-Cerrahpasa, Institute of Cardiology, Department of Cardiology, Istanbul,Turkey; University of Health Sciences, Okmeydani Training and Research Hospital, Department of Cardiology, Istanbul, Turkey. Electronic address: drhasanali@hotmail.com.
  • Atici A; Istanbul Medeniyet University, Faculty of Medicine, Goztepe Training and Research Hospital, Department of Cardiology, Istanbul, Turkey.
  • Sahin I; University of Health Sciences, Bagcilar Training and Research Hospital, Department of Cardiology, Istanbul, Turkey.
  • Dogan O; Istanbul University-Cerrahpasa, Institute of Cardiology, Department of Cardiology, Istanbul,Turkey.
  • Okur O; University of Health Sciences, Okmeydani Training and Research Hospital, Department of Anesthesiology and Intensive Care, Istanbul, Turkey.
  • Tugrul S; University of Health Sciences, Bagcilar Training and Research Hospital, Department of Cardiology, Istanbul, Turkey.
  • Avci I; University of Health Sciences, Dr. Siyami Ersek Training and Research Hospital, Department of Cardiology, Istanbul, Turkey.
  • Yildirmak MT; University of Health Sciences, Okmeydani Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey.
  • Gungor B; University of Health Sciences, Dr. Siyami Ersek Training and Research Hospital, Department of Cardiology, Istanbul, Turkey.
  • Dogan SM; Istanbul University-Cerrahpasa, Institute of Cardiology, Department of Cardiology, Istanbul,Turkey.
Am J Emerg Med ; 49: 1-5, 2021 11.
Article in English | MEDLINE | ID: covidwho-1233342
ABSTRACT

OBJECTIVE:

COVID-19 spread worldwide, causing severe morbidity and mortality and this process still continues. The aim of this study to investigate the prognostic value of right ventricular (RV) strain in patients with COVID-19.

METHODS:

Consecutive adult patients admitted to the emergency room for COVID-19 between 1 and 30 April were included in this study. ECG was performed on hospital admission and was evaluated as blind. RV strain was defined as in the presence of one or more of the following ECG

findings:

complete or incomplete right ventricular branch block (RBBB), negative T wave in V1-V4 and presence of S1Q3T3. The main outcome measure was death during hospitalization. The relationship of variables to the main outcome was evaluated by multivariable Cox regression analysis.

RESULTS:

A total of 324 patients with COVID-19 were included in the study; majority of patients were male (187, 58%) and mean age was 64.2 ± 14.1. Ninety-five patients (29%) had right ventricular strain according to ECG and 66 patients (20%) had died. After a multivariable survival analysis, presence of RV strain on ECG (OR 4.385, 95%CI 2.226-8.638, p < 0.001), high-sensitivity troponin I (hs-TnI), d-dimer and age were independent predictors of mortality.

CONCLUSION:

Presence of right ventricular strain pattern on ECG is associated with in hospital mortality in patients with COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ventricular Dysfunction, Right / Electrocardiography / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Am J Emerg Med Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ventricular Dysfunction, Right / Electrocardiography / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Am J Emerg Med Year: 2021 Document Type: Article