Electrocardiographic Findings in Patients Hospitalized With COVID-19: Retrospective Study

IF 2.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Clinical Practice Pub Date : 2025-06-27 DOI:10.1155/ijcp/3806729

Sima Sobhani Shahri, Fateme Mahdizadeh, Abdol Sattar Pagheh, Mohammad Reza Khazdair, Mohamad Karimi, Seyed Mohammad Riahi, Mohammad Yousof Qoddusi, Moloud Foogerdi, Anahita Arian, Shima Heidary, Toba Kazemi

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引用次数: 0

Abstract

Background: COVID-19 can involve the heart, which is associated with an increase in morbidity and mortality and can detected by electrocardiogram (ECG). So, in this study, we assess ECG changes in COVID-19-infected patients during hospitalization.

Methods: In this study, we examined the ECGs of 474 patients with COVID-19 positive at Birjand Vali-Asr Hospital (east of Iran). All the ECGs were taken by a single device and interpreted by a cardiologist. Demographic information, past medical history, and severity of COVID disease (in terms of oxygen saturation, respiratory distress, and need for emergency care) were entered in the checklist. Data were entered into SPSS Version 22 and analyzed. A p value of ≤ 0.05 was considered as a significant level.

Results: The patient’s mean age was 57.13 ± 18.7 years, and 55% of them were men; 428 (89.5%) patients survived and 49 (10.5%) died. About 78% of patients had abnormal ECG, which was higher in deceased patients significantly (91.8%, p = 0.03). Most frequent abnormalities include 40.3% of dysrhythmia (sinus tachycardia, atrial fibrillation, and sinus bradycardia), 30.1% of abnormal rate (tachycardia, bradycardia), and 30% of low-voltage ECG. Statistical analysis showed that after multivariable logistic regression, tachycardia (OR = 2.65 [1.2–5.8]; p = 0.015) and ST-segment elevation (OR = 2.9 [1.2–7.2]; p = 0.023) were directly related to the disease severity and mortality.

Conclusion: ECG changes are very common in COVID-19 patients, especially rate and rhythm changes. Tachycardia and ST segment elevation were associated with mortality. ECG changes are very common in COVID-19 patients, especially changes in rate and rhythm. Tachycardia and ST segment elevation were associated with mortality. Since the ECG is a simple, cheap, and safe diagnostic method, it is necessary to take an initial ECG from the patient in acute upper respiratory infections such as COVID-19, at least for patients with severe disease. In our study, the significant point was the presence of low voltage in ECG in one-third of the patients with COVID-19, which requires further research in this field.

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COVID-19住院患者的心电图表现：回顾性研究

背景：COVID-19可累及心脏，与发病率和死亡率增加相关，可通过心电图检测到。因此，在本研究中，我们评估了covid -19感染患者住院期间的心电图变化。方法：本研究对伊朗东部Birjand Vali-Asr医院的474例COVID-19阳性患者进行心电图检查。所有的心电图都是由一个设备拍摄的，并由心脏病专家解释。将人口统计信息、既往病史和COVID疾病严重程度（血氧饱和度、呼吸窘迫和紧急护理需求）输入核对表。数据输入SPSS Version 22进行分析。p值≤0.05为显著水平。结果：患者平均年龄57.13±18.7岁，男性占55%；428例（89.5%）存活，49例（10.5%）死亡。约78%的患者心电图异常，死亡患者异常率明显高于死亡患者（91.8%,p = 0.03）。最常见的异常包括心律失常（窦性心动过速、房颤、窦性心动过缓）占40.3%，异常率（心动过速、心动过缓）占30.1%，低压心电图占30%。经多变量logistic回归统计分析，心动过速(OR = 2.65 [1.2-5.8]；p = 0.015)和st段抬高(OR = 2.9 [1.2-7.2]；P = 0.023)与疾病严重程度和死亡率直接相关。结论：心电图改变在COVID-19患者中很常见，尤其是心率和节律改变。心动过速和ST段抬高与死亡率相关。心电图变化在COVID-19患者中非常常见，尤其是心率和节律的变化。心动过速和ST段抬高与死亡率相关。由于心电图是一种简单、廉价、安全的诊断方法，因此对于COVID-19等急性上呼吸道感染患者，至少对于病情严重的患者，有必要对患者进行初始心电图检查。在我们的研究中，值得注意的是1 / 3的COVID-19患者的心电图存在低电压，这需要进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Clinical Practice 医学-医学：内科

CiteScore

5.30

自引率

0.00%

发文量

274

审稿时长

3-8 weeks

期刊介绍： IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.