{"title":"评估儿童COVID-19患者的心电图表现:一项综合分析","authors":"Mohammadreza Naghibi, Shirin Sadat Ghiasi, Rasoul Raesi, Feisal Rahimpour","doi":"10.2174/011573403X354415250727070214","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>COVID-19 can be associated with varying degrees of cardiac involvement in children, such that myocardial damage can be caused directly by the COVID-19 virus itself or systemic inflammation caused by the infection. The present study was conducted with the aim of evaluating ECG findings in children with COVID-19.</p><p><strong>Methods: </strong>This is a prospective cross-sectional study that was conducted by census method on 764 children with COVID-19 in hospitals related to Mashhad University of Medical Sciences in 2022. The data were extracted using a checklist including clinical information and medical records of the patients and analyzed using descriptive and statistical tests.</p><p><strong>Results: </strong>764 children with COVID-19 were examined, of which 385 (51%) were male. The studied patients included MISC (25.9%), Kawasaki-like disease (0.3%), pulmonary (12.7%), and gastrointestinal (2%) involvements. More than half of the patients (58%, 444 patients) showed changes in echocardiography findings, including mitral valve insufficiency, dilation of one or more cardiac chambers, and pericardial effusion. 98.8% of patients had NAX. AVB grade I was found in 26 patients (3.4%). Abnormal ST-T segments were observed in 25 patients (3.3%). The prevalence rate of S wave fragmentation was 2.8% (21), and fragmented R waves were found in 13 patients (1.7%).</p><p><strong>Discussion: </strong>Patients hospitalized in the intensive care unit (ICU) had a higher amount of disorder for each parameter change. Additionally, a significant association was found between the higher occurrence of AV node block and arrhythmia with clinical status (p<0.05), with the same higher rate in patients kept in the ICU.</p><p><strong>Conclusion: </strong>ECG findings can be used to predict the presence or absence of myocardial involvement as well as its severity. Furthermore, patients with changes in ST-T fQRS and PR interval are more likely to experience cardiac involvement, which could result in a poorer prognosis.</p>","PeriodicalId":10832,"journal":{"name":"Current Cardiology Reviews","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessing ECG Findings in Pediatric COVID-19 Patients: A Comprehensive Analysis.\",\"authors\":\"Mohammadreza Naghibi, Shirin Sadat Ghiasi, Rasoul Raesi, Feisal Rahimpour\",\"doi\":\"10.2174/011573403X354415250727070214\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>COVID-19 can be associated with varying degrees of cardiac involvement in children, such that myocardial damage can be caused directly by the COVID-19 virus itself or systemic inflammation caused by the infection. The present study was conducted with the aim of evaluating ECG findings in children with COVID-19.</p><p><strong>Methods: </strong>This is a prospective cross-sectional study that was conducted by census method on 764 children with COVID-19 in hospitals related to Mashhad University of Medical Sciences in 2022. The data were extracted using a checklist including clinical information and medical records of the patients and analyzed using descriptive and statistical tests.</p><p><strong>Results: </strong>764 children with COVID-19 were examined, of which 385 (51%) were male. The studied patients included MISC (25.9%), Kawasaki-like disease (0.3%), pulmonary (12.7%), and gastrointestinal (2%) involvements. More than half of the patients (58%, 444 patients) showed changes in echocardiography findings, including mitral valve insufficiency, dilation of one or more cardiac chambers, and pericardial effusion. 98.8% of patients had NAX. AVB grade I was found in 26 patients (3.4%). Abnormal ST-T segments were observed in 25 patients (3.3%). The prevalence rate of S wave fragmentation was 2.8% (21), and fragmented R waves were found in 13 patients (1.7%).</p><p><strong>Discussion: </strong>Patients hospitalized in the intensive care unit (ICU) had a higher amount of disorder for each parameter change. Additionally, a significant association was found between the higher occurrence of AV node block and arrhythmia with clinical status (p<0.05), with the same higher rate in patients kept in the ICU.</p><p><strong>Conclusion: </strong>ECG findings can be used to predict the presence or absence of myocardial involvement as well as its severity. Furthermore, patients with changes in ST-T fQRS and PR interval are more likely to experience cardiac involvement, which could result in a poorer prognosis.</p>\",\"PeriodicalId\":10832,\"journal\":{\"name\":\"Current Cardiology Reviews\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-07-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Current Cardiology Reviews\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/011573403X354415250727070214\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Cardiology Reviews","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/011573403X354415250727070214","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Assessing ECG Findings in Pediatric COVID-19 Patients: A Comprehensive Analysis.
Introduction: COVID-19 can be associated with varying degrees of cardiac involvement in children, such that myocardial damage can be caused directly by the COVID-19 virus itself or systemic inflammation caused by the infection. The present study was conducted with the aim of evaluating ECG findings in children with COVID-19.
Methods: This is a prospective cross-sectional study that was conducted by census method on 764 children with COVID-19 in hospitals related to Mashhad University of Medical Sciences in 2022. The data were extracted using a checklist including clinical information and medical records of the patients and analyzed using descriptive and statistical tests.
Results: 764 children with COVID-19 were examined, of which 385 (51%) were male. The studied patients included MISC (25.9%), Kawasaki-like disease (0.3%), pulmonary (12.7%), and gastrointestinal (2%) involvements. More than half of the patients (58%, 444 patients) showed changes in echocardiography findings, including mitral valve insufficiency, dilation of one or more cardiac chambers, and pericardial effusion. 98.8% of patients had NAX. AVB grade I was found in 26 patients (3.4%). Abnormal ST-T segments were observed in 25 patients (3.3%). The prevalence rate of S wave fragmentation was 2.8% (21), and fragmented R waves were found in 13 patients (1.7%).
Discussion: Patients hospitalized in the intensive care unit (ICU) had a higher amount of disorder for each parameter change. Additionally, a significant association was found between the higher occurrence of AV node block and arrhythmia with clinical status (p<0.05), with the same higher rate in patients kept in the ICU.
Conclusion: ECG findings can be used to predict the presence or absence of myocardial involvement as well as its severity. Furthermore, patients with changes in ST-T fQRS and PR interval are more likely to experience cardiac involvement, which could result in a poorer prognosis.
期刊介绍:
Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.