The effect of the severity COVID-19 infection on electrocardiography.
Am J Emerg Med
; 46: 317-322, 2021 Aug.
Article
in English
| MEDLINE | ID: covidwho-871675
ABSTRACT
OBJECTIVE:
Acute myocardial damage is detected in a significant portion of patients with coronavirus 2019 disease (COVID-19) infection, with a reported prevalence of 7-28%. The aim of this study was to investigate the relationship between electrocardiographic findings and the indicators of the severity of COVID-19 detected on electrocardiography (ECG).METHODS:
A total of 219 patients that were hospitalized due to COVID-19 between April 15 and May 5, 2020 were enrolled in this study. Patients were divided into two groups according to the severity of COVID-19 infection severe (n = 95) and non-severe (n = 124). ECG findings at the time of admission were recorded for each patient. Clinical characteristics and laboratory findings were retrieved from electronic medical records.RESULTS:
Mean age was 65.2 ± 13.8 years in the severe group and was 57.9 ± 16.0 years in the non-severe group. ST depression (28% vs. 14%), T-wave inversion (29% vs. 16%), ST-T changes (36% vs. 21%), and the presence of fragmented QRS (fQRS) (17% vs. 7%) were more frequent in the severe group compared to the non-severe group. Multivariate analysis revealed that hypertension (odds ratio [OR] 2.42, 95% confidence interval [CI]1.03-5.67; p = 0.041), the severity of COVID-19 infection (OR 1.87, 95% CI 1.09-2.65; p = 0.026), presence of cardiac injury (OR 3.32, 95% CI 1.45-7.60; p = 0.004), and d-dimer (OR 3.60, 95% CI 1.29-10.06; p = 0.014) were independent predictors of ST-T changes on ECG.CONCLUSION:
ST depression, T-wave inversion, ST-T changes, and the presence of fQRS on admission ECG are closely associated with the severity of COVID-19 infection.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Electrocardiography
/
COVID-19
/
Myocardial Infarction
Type of study:
Cohort study
/
Diagnostic study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Am J Emerg Med
Year:
2021
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS