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Cardiac Arrhythmias in Patients with COVID-19: A Systematic review and Meta-analysis
Omar Hamam; Ahmed Goda; Moustafa Eldalal; Amr Ussama; Mostafa Fahmy; Karim Elyamany; Waleed Ikram; Ahmed Mahdy; Renu Bhandari; Mohammad A. Elbahnasawy; Hosam Asal; Alexander Egbe.
Affiliation
  • Omar Hamam; Alexandria Faculty of Medicine
  • Ahmed Goda; Faculty of Medicine, October 6th University, Cairo, 12585 Egypt.
  • Moustafa Eldalal; Faculty of Medicine, Alexandria University, Alexandria21131, Egypt
  • Amr Ussama; Faculty of Medicine, Al-azhar University, Cairo, 11651 Egypt
  • Mostafa Fahmy; Faculty of Medicine, Tanta University, Tanta, 31527 Egypt
  • Karim Elyamany; Faculty of Medicine, Alexandria University, Alexandria21131, Egypt
  • Waleed Ikram; Lahore Medical and Dental College, Lahore, 30022 Pakistan
  • Ahmed Mahdy; Faculty of Medicine, Alexandria University, Alexandria21131, Egypt
  • Renu Bhandari; Department of Internal Medicine, Manipal College of Medical Sciences, Kaski, 33700 Nepal
  • Mohammad A. Elbahnasawy; Alexandria Faculty of Medicine
  • Hosam Asal; Trinity school of Medicine, Atlanta, Georgia 30075 USA
  • Alexander Egbe; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, 55905 United States of America
Preprint in English | medRxiv | ID: ppmedrxiv-20209379
ABSTRACT
BackgroundCardiac arrhythmia cannot be overlooked in patients with coronavirus disease 2019 (COVID-19) as it carries a great influence on the outcomes. Hence, this study aimed to build concrete evidence regarding the incidence of cardiac arrhythmia in patients with COVID-19. MethodsWe performed a systematic search for trusted databases/search engines including PubMed, Scopus, Cochrane library and web of science. After screening, the relevant data were extracted and the incidences from the different included studies were pooled for meta-analysis. ResultsNine studies were finally included in our study consisting of 1445 patients. The results of meta-analysis showed that the incidence of arrhythmia in patients with COVID-19 was 19.7% with 95% confidence interval (CI) ranging from 11.7 to 27.6%. There was also a significant heterogeneity (I2{square}={square}94.67%). ConclusionCardiac arrhythmias were highly frequent in patients with COVID-19 and observed in 19.7% of them. Appropriate monitoring by electrocardiogram with accurate and early identification of arrhythmias is important for better management and outcomes. HighlightsO_LICardiac arrhythmia cannot be overlooked in patients with coronavirus disease 2019 (COVID-19) as it carries a great influence on the outcomes. C_LIO_LIThis study aimed to build concrete evidence regarding the incidence of cardiac arrhythmia in patients with COVID-19. C_LIO_LICardiac arrhythmias were highly frequent in patients with COVID-19 and observed in 19.7% of them. C_LIO_LIAppropriate monitoring by electrocardiogram with accurate and early identification of arrhythmias is important for better management and outcomes. C_LI
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Full text: Available Collection: Preprints Database: medRxiv Type of study: Observational study / Review / Systematic review Language: English Year: 2020 Document type: Preprint
Full text: Available Collection: Preprints Database: medRxiv Type of study: Observational study / Review / Systematic review Language: English Year: 2020 Document type: Preprint
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