评估儿童COVID-19患者的心电图表现:一项综合分析

IF 2.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Mohammadreza Naghibi, Shirin Sadat Ghiasi, Rasoul Raesi, Feisal Rahimpour
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引用次数: 0

摘要

导语:COVID-19可与儿童不同程度的心脏受累相关,心肌损伤可直接由COVID-19病毒本身或感染引起的全身性炎症引起。本研究旨在评估COVID-19患儿的心电图表现。方法:采用前瞻性横断面研究方法,对2022年在马什哈德医科大学附属医院就诊的764例新冠肺炎患儿进行人口普查。使用包括患者临床信息和医疗记录在内的核对表提取数据,并使用描述性和统计检验进行分析。结果:共检查新冠肺炎患儿764例,其中男性385例(51%)。研究的患者包括MISC(25.9%)、川崎样疾病(0.3%)、肺部(12.7%)和胃肠道(2%)受累。超过一半的患者(58%,444例)表现出超声心动图改变,包括二尖瓣功能不全、一个或多个心室扩张和心包积液。98.8%的患者有NAX。AVB I级26例(3.4%)。ST-T段异常25例(3.3%)。S波碎裂发生率为2.8%(21例),R波碎裂发生率为13例(1.7%)。讨论:在重症监护病房(ICU)住院的患者对每一个参数的改变都有更高的紊乱程度。此外,房室结阻滞的高发生率与心律失常的临床状态之间存在显著相关性(结论:心电图表现可用于预测心肌累及的存在与否及其严重程度)。此外,ST-T fQRS和PR间期改变的患者更容易发生心脏受累,这可能导致预后较差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
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.
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