ECG changes in hospitalised patients with COVID-19 infection

Yuan, Mingyang; Zathar, Zafraan; Nihaj, Frantisek; Apostolakis, Stavros; Abdul, Fairoz; Connolly, Derek; Varma, Chetan; Sharma, Vishal

doi:10.5837/bjc.2021.024

Cited by 4 publications

(7 citation statements)

References 25 publications

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“…The Coronavirus Disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and has affected millions worldwide. It was declared a global pandemic in March 2020 by the World Health Organization [ 1 - 3 ]. COVID-19 primarily manifests in the lungs; however, extrapulmonary manifestations, including cardiac, have also been cited in the literature [ 1 - 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…It was declared a global pandemic in March 2020 by the World Health Organization [ 1 - 3 ]. COVID-19 primarily manifests in the lungs; however, extrapulmonary manifestations, including cardiac, have also been cited in the literature [ 1 - 3 ]. Some common cardiac manifestations of COVID-19 include myocardial injury, myocarditis, acute heart failure, acute coronary syndrome, and cardiac arrhythmias [ 1 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…COVID-19 primarily manifests in the lungs; however, extrapulmonary manifestations, including cardiac, have also been cited in the literature [ 1 - 3 ]. Some common cardiac manifestations of COVID-19 include myocardial injury, myocarditis, acute heart failure, acute coronary syndrome, and cardiac arrhythmias [ 1 , 3 ]. It has been well-established that the severity of COVID-19 directly correlates with an increased risk for cardiac manifestations [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…The current literature is limited in terms of electrocardiogram (ECG) abnormalities in COVID-19 patients, but some studies have cited atrial fibrillation and sinus tachycardia as the most common arrhythmias associated with this disease entity [ 1 , 3 ]. Currently, there are a limited number of case studies that have cited ventricular bigeminy or trigeminy associated with COVID-19 [ 1 - 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Symptomatic Ventricular Bigeminy and Trigeminy Associated With COVID-19

Hu¹,

Phan²,

Oganesian³

et al. 2023

Cureus

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Cardiac manifestations of COVID-19 are well-described in the current literature, although electrocardiogram analyses of COVID-19 patients are limited. The most common arrhythmias experienced by patients with COVID-19 include sinus tachycardia and atrial fibrillation. Ventricular bigeminy associated with COVID-19 is exceedingly rare and requires further studies to determine its incidence and clinical significance. Here, we present the case of a 57-year-old male with no prior cardiac history who was found to have COVID-19 and new-onset, symptomatic premature ventricular contraction bigeminy. This case highlights a rare potential association between COVID-19 and ventricular bigeminy/trigeminy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Symptomatic Ventricular Bigeminy and Trigeminy Associated With COVID-19

Hu¹,

Phan²,

Oganesian³

et al. 2023

Cureus

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“…The number of drugs that are being used in critical care like antianginal, antiemetics, antibiotics, inotropes, bronchodilators, etc., can cause conduction abnormalities in patients[3]. As evident from various studies done by He et al,Bergamaschi et al., and Mengshi et al, COVID-19 and the drugs used for its treatment could result in cardiac rhythm abnormalities[4,5,6]; hence, there was an urgent need to train and re-train all clinicians and nurses in identifying rhythms and act in time to save patients.During the COVID-19 pandemic, not only medical specialists but also surgical, paraclinical, and preclinical departments got involved in patient care under the supervision of frontline clinical departments. Despite ECG teaching being a part of the undergraduate curriculum, these competencies fade away or weaken with time in students who take up surgical or other non-clinical streams.…”

mentioning

confidence: 99%

Effectiveness of Large-Scale Preparedness Training on Electrocardiogram for Medical, Surgical, and Pre-clinical Doctors: A Need-Based Initiative for COVID-19 Patient Care

Varghese¹,

Dhar²,

Rao³

et al. 2022

Cureus

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Introduction: One of the competencies expected of all doctors posted in coronavirus disease 2019 wards, is ECG rhythm identification, interpretation, and intervention for immediate management of patients. This study was undertaken to evaluate the effectiveness of the ECG training module as a component of preparedness training to combat COVID-19.Methodology: This was a cross-sectional study conducted during training on ECG rhythm identification, interpretation, its management in COVID-19 patients. Study participants included faculty, senior residents, junior residents, and interns of medical, surgical, and paraclinical disciplines. The training session included one hour of didactic lecture and one and half hours of interactive session during which case scenarios were discussed. An objective assessment was conducted through pre-test and post-test. Mean of pre and post-test scores were compared using paired t-test for evaluating statistical significance. Feedback was also taken from participants.Results: Out of the 800 participants who gave consent, only 682 who completed both pre and post-test were included in the final analysis. Mean pre-test and post-test scores were 9.29/15 (61.9%) and 11.63/15 (77.5%), respectively, with a mean improvement of +2.34/15 (+15.6%). Of the participants, 38.6% obtained low scores in pre-test and 82% of respondents agreed that knowledge and skills gained from training would be useful in providing patient care.Conclusion: Low baseline knowledge on ECG highlights the need for re-training doctors posted in COVID-19 care on cardiac rhythm identification and interpretation. Interactive training is effective in improving ECG interpretative skills among doctors across disciplines and is the appropriate method to retrain/reskill, especially for large-scale capacity building.

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Are Pre‐Hospitalization ECG Abnormalities Associated With Increased Mortality in COVID‐19 Patients? A Quantitative Systematic Literature Review

Askey,

Smith

2024

Noninvasive Electrocardiol

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BackgroundWhile COVID‐19 is predominantly a respiratory disease, cardiovascular complications occur and are associated with worse outcomes. Electrocardiogram (ECG) abnormalities are frequently observed in hospitalized COVID‐19 patients, some of which are associated with increased mortality. It is unclear whether ECG abnormalities occurring before hospitalization are associated with increased mortality. This quantitative systematic literature review aims to determine which ECG changes occurring before hospitalization are associated with mortality and discuss whether these findings can aid the assessment of patients and decision‐making in the pre‐hospital environment.MethodsA systematic search of the following digital databases was conducted: CINAL, PUBMED, MEDLINE, and Coronavirus Research Database. Eight cohort studies (primary papers) including COVID‐19 patients with ECGs taken in the Emergency Department before hospitalization were selected for quantitative synthesis and results were obtained for the prevalence of ECG changes among survivors compared with non‐survivors. Odds and hazard ratios for ECG abnormalities associated with mortality were also collected and compared.ResultsIdentification of ECG abnormalities on pre‐hospitalization ECG is associated with increased mortality in COVID‐19 patients. These ECG abnormalities include non‐sinus rhythm, QTc prolongation, left bundle branch block, axis deviation, atrial fibrillation, atrial flutter, right ventricular strain patterns, ST segment changes, T wave abnormalities, and evidence of left ventricular hypertrophy.ConclusionElectrocardiogram assessment in the pre‐hospital environment may be beneficial when assessing COVID‐19 patients and could help identify patients at increased risk of mortality.

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ECG changes in hospitalised patients with COVID-19 infection

Cited by 4 publications

References 25 publications

Symptomatic Ventricular Bigeminy and Trigeminy Associated With COVID-19

Symptomatic Ventricular Bigeminy and Trigeminy Associated With COVID-19

Effectiveness of Large-Scale Preparedness Training on Electrocardiogram for Medical, Surgical, and Pre-clinical Doctors: A Need-Based Initiative for COVID-19 Patient Care

Are Pre‐Hospitalization ECG Abnormalities Associated With Increased Mortality in COVID‐19 Patients? A Quantitative Systematic Literature Review

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