ECG characteristics of COVID-19 patient with arrhythmias: Referral hospitals data from Indonesia.

Covid‐19 ECG arrhythmia heart rate

Journal

Journal of arrhythmia
ISSN: 1880-4276
Titre abrégé: J Arrhythm
Pays: Japan
ID NLM: 101263026

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 25 10 2021
revised: 17 03 2022
accepted: 27 03 2022
entrez: 5 7 2022
pubmed: 6 7 2022
medline: 6 7 2022
Statut: epublish

Résumé

Arrhythmia is a significant clinical modifier in COVID-19 patient outcomes. Currently, data on arrhythmia and ECG characteristics in COVID-19 from lower middle-income countries are limited. COVID-19 was confirmed by polymerase chain reaction testing of a nasopharyngeal sample. All clinical records were systematically evaluated to obtain demographic characteristics and medical comorbidities. The ECG was recorded on admission, in-hospital, and at discharge. Total documented arrhythmia events account for 22% of patients, comprising 6% of new-onset arrhythmia and 16% of existing arrhythmia. Atrial fibrillation is the most common arrhythmia. The ECG changes were a decrease in heart rate (91 ± 22 vs. 83 ± 20, The incidence of arrhythmias in COVID-19 patients at COVID-19 referral hospitals in Indonesia is 22%. Atrial fibrillation is the most common arrhythmia in COVID-19 patients. Prolongation of QRS duration from admission to discharge was related to the occurrence of new-onset arrhythmia. The in-hospital HR of 85 bpm or higher increased the risk of death.

Sections du résumé

Background UNASSIGNED
Arrhythmia is a significant clinical modifier in COVID-19 patient outcomes. Currently, data on arrhythmia and ECG characteristics in COVID-19 from lower middle-income countries are limited.
Methods UNASSIGNED
COVID-19 was confirmed by polymerase chain reaction testing of a nasopharyngeal sample. All clinical records were systematically evaluated to obtain demographic characteristics and medical comorbidities. The ECG was recorded on admission, in-hospital, and at discharge.
Results UNASSIGNED
Total documented arrhythmia events account for 22% of patients, comprising 6% of new-onset arrhythmia and 16% of existing arrhythmia. Atrial fibrillation is the most common arrhythmia. The ECG changes were a decrease in heart rate (91 ± 22 vs. 83 ± 20,
Conclusion UNASSIGNED
The incidence of arrhythmias in COVID-19 patients at COVID-19 referral hospitals in Indonesia is 22%. Atrial fibrillation is the most common arrhythmia in COVID-19 patients. Prolongation of QRS duration from admission to discharge was related to the occurrence of new-onset arrhythmia. The in-hospital HR of 85 bpm or higher increased the risk of death.

Identifiants

pubmed: 35785388
doi: 10.1002/joa3.12718
pii: JOA312718
pmc: PMC9237289
doi:

Types de publication

Journal Article

Langues

eng

Pagination

432-438

Informations de copyright

© 2022 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.

Déclaration de conflit d'intérêts

The authors declared that they have NO affiliation with or involvement in any organization or entity with any financial interest or nonfinancial interest in the subject matter or materials discussed in this manuscript.

Références

Heart Rhythm. 2020 Sep;17(9):1425-1433
pubmed: 32407884
Eur J Intern Med. 2013 Jun;24(4):368-74
pubmed: 23517852
JAMA. 2020 Mar 17;323(11):1061-1069
pubmed: 32031570
Rheumatology (Oxford). 2014 Jan;53(1):131-7
pubmed: 24097136
Pak J Med Sci. 2016 Nov-Dec;32(6):1402-1407
pubmed: 28083034
BMC Cardiovasc Disord. 2019 Nov 29;19(1):276
pubmed: 31783793
J Rheumatol. 2015 Mar;42(3):421-8
pubmed: 25593223
J Am Acad Dermatol. 2015 Sep;73(3):429-38
pubmed: 26188627
Arthritis Care Res (Hoboken). 2015 Mar;67(3):332-9
pubmed: 25186226
Heart Rhythm O2. 2020 Aug;1(3):167-172
pubmed: 32835316
Heart Rhythm. 2020 Sep;17(9):1439-1444
pubmed: 32585191
Int J Rheum Dis. 2017 Apr;20(4):434-441
pubmed: 26692475
Heart Rhythm. 2013 Oct;10(10):1425-32
pubmed: 23906927
Heart Rhythm. 2020 Sep;17(9):1472-1479
pubmed: 32438018
CMAJ. 2016 Feb 16;188(3):E53-E63
pubmed: 26598376
Clin Exp Rheumatol. 2015 Jan-Feb;33(1):84-9
pubmed: 25572282
Am J Cardiol. 2021 Nov 15;159:129-137
pubmed: 34579830
Heart Rhythm. 2021 Apr;18(4):501-507
pubmed: 33493650
EClinicalMedicine. 2021 Sep;39:101057
pubmed: 34377967
J Am Coll Cardiol. 2020 Nov 3;76(18):2043-2055
pubmed: 33121710
Europace. 2021 Oct 9;23(10):1603-1611
pubmed: 34297833
PLoS One. 2014 Apr 25;9(4):e95994
pubmed: 24770373

Auteurs

Yoga Yuniadi (Y)

Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, and National Cardiovascular Center Harapan Kita Jakarta Indonesia.

Dony Yugo (D)

Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, and National Cardiovascular Center Harapan Kita Jakarta Indonesia.

Muhammad Fajri (M)

Pertamina Jaya Hospital Jakarta Indonesia.

Budi Ario Tejo (BA)

Fatmawati General Hospital Jakarta Indonesia.

Diah Retno Widowati (DR)

Fatmawati General Hospital Jakarta Indonesia.

Dicky Armen Hanafy (DA)

Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, and National Cardiovascular Center Harapan Kita Jakarta Indonesia.

Sunu Budhi Raharjo (SB)

Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, and National Cardiovascular Center Harapan Kita Jakarta Indonesia.

Classifications MeSH