Araştırma Makalesi
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Yıl 2021, Cilt: 5 Sayı: 5, 523 - 528, 01.05.2021

İskender Ekinci Ahmet Cinar İrem Kirac Utku Hanise Ozkan Mitat Buyukkaba Abdulbaki Kumbasar Omur Tabak

https://doi.org/10.28982/josam.879464

Öz

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Kaynakça

  • 1. http://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020.
  • 2. WHO Coronavirus (COVID-19) Dashboard https://covid19.who.int/
  • 3. Bansal M. Cardiovascular disease and COVID-19. Diabetes Metab Syndr. 2020;14(3):247-50. doi: 10.1016/j.dsx.2020.03.013.
  • 4. Santoso A, Pranata R, Wibowo A, Al-Farabi MJ, Huang I, Antariksa B. Cardiac injury is associated with mortality and critically ill pneumonia in COVID-19: A meta-analysis. Am J Emerg Med. 2020 Apr 19:S0735-6757(20)30280-1. doi: 10.1016/j.ajem.2020.04.052
  • 5. Shi S, Qin M, Shen B, Cai Y, Liu T, Yang F, et al. Association of Cardiac Injury With Mortality in Hospitalized Patients With COVID-19 in Wuhan, China. JAMA Cardiol. 2020;5(7):802-10. doi: 10.1001/jamacardio.2020.0950.
  • 6. Xiong TY, Redwood S, Prendergast B, Chen M. Coronaviruses and the cardiovascular system: acute and long-term implications. Eur Heart J. 2020;41(19):1798-800. doi: 10.1093/eurheartj/ehaa231
  • 7. Li B, Yang J, Zhao F, Zhi L, Wang X, Liu L, et al. Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China. Clin Res Cardiol. 2020;109(5):531-8. doi: 10.1007/s00392-020-01626-9
  • 8. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5
  • 9. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult in patients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. doi: 10.1016/S0140-6736(20)30566-3
  • 10. Chen D, Li X, Song Q, Hu C, Su F, Dai J, et al. Assessment of Hypokalemia and Clinical Characteristics in Patients With Coronavirus Disease 2019 in Wenzhou, China. JAMA Netw Open. 2020;3(6):e2011122. doi: 10.1001/jamanetworkopen.2020.11122.
  • 11. Wang Y, Chen L, Wang J, He X, Huang F, Chen J, et al. Electrocardiogram analysis of patients with different types of COVID-19. Ann Noninvasive Electrocardiol. 2020;25(6):e12806. doi: 10.1111/anec.12806.
  • 12. McCullough SA, Goyal P, Krishnan U, Choi JJ, Safford MM, Okin PM. Electrocardiographic Findings in Coronavirus Disease-19: Insights on Mortality and Underlying Myocardial Processes. J Card Fail. 2020;26(7):626-32. doi: 10.1016/j.cardfail.2020.06.005.
  • 13. Barman HA, Atici A, Alici G, Sit O, Tugrul S, Gungor B, et al. The effect of the severity COVID-19 infection on electrocardiography. Am J Emerg Med. 2020 Oct 7:S0735-6757(20)30889-5. doi: 10.1016/j.ajem.2020.10.005.
  • 14. Angeli F, Spanevello A, De Ponti R, Visca D, Marazzato J, Palmiotto G, et al. Electrocardiographic features of patients with COVID-19 pneumonia. Eur J Intern Med. 2020 Aug;78:101-6. doi: 10.1016/j.ejim.2020.06.015
  • 15. Deng Q, Hu B, Zhang Y, Wang H, Zhou X, Hu W, et al. Suspected myocardial injury in patients with COVID-19: Evidence from front-line clinical observation in Wuhan, China. Int J Cardiol. 2020 Jul 15;311:116-21. doi: 10.1016/j.ijcard.2020.03.087.
  • 16. Bangalore S, Sharma A, Slotwiner A, Yatskar L, Harari R, Shah B, et al. ST-Segment Elevation in Patients with Covid-19 - A Case Series. N Engl J Med. 2020 Jun 18;382(25):2478-80. doi: 10.1056/NEJMc2009020.
  • 17. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9. doi: 10.1001/jama.2020.1585
  • 18. Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, et al. Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. 2020;5(7):811-8. doi: 10.1001/jamacardio.2020.1017

Electrocardiographic findings in non-critical patients with coronavirus disease-2019

Yıl 2021, Cilt: 5 Sayı: 5, 523 - 528, 01.05.2021

İskender Ekinci Ahmet Cinar İrem Kirac Utku Hanise Ozkan Mitat Buyukkaba Abdulbaki Kumbasar Omur Tabak

https://doi.org/10.28982/josam.879464

Öz

Background/Aim: Cardiovascular involvement in patients with coronavirus disease 2019 (COVID-19) is closely related to the course of the disease; however, this issue has not been adequately studied in Turkey. Thus, we aimed to investigate the electrocardiography (ECG) findings in noncritical patients with COVID-19 in Turkey.
Methods: This retrospective cohort study was conducted on non-critical patients with COVID-19 with no history of any cardiac disease. The laboratory parameters and ECG findings of the patients at the time of admission were analyzed.
Results: In total, 100 patients with a mean age of 56.8 (16.7) years were included in the study, among which 54 were males. The rate of patients having at least one abnormal ECG finding, ST segment pathology, and elevated troponin level were 58%, 26%, and 48%, respectively. The respiratory rate and mean troponin level were higher and the mean lymphocyte count was lower in patients with ST segment pathology than in patients without. The respiratory rate, fibrinogen level, and incidence of T negativity and abnormal ECG findings were higher, and the lymphocyte count was lower in patients with elevated troponin levels than in patients with normal troponin levels (P<0.05 for all). Troponin level was significantly negatively correlated with lymphocyte count and significantly positively correlated with respiratory rate and C-reactive protein (P=0.003, r = −0.298; P=0.031, r = 0.215; and P=0.02, r = 0.233, respectively). In the receiver operating characteristic analysis, it was found that ST segment pathologies were more common in patients with a troponin level >0.03 mg/mL (P<0.001, area under the curve: 0.763, sensitivity: 61.5%, and specificity: 90.5%).
Conclusion: Cardiac involvement is very common in patients with COVID-19, and elevated cardiac troponin levels and pathological ECG findings are observed.

Anahtar Kelimeler

Electrocardiography Troponin ST segment pathology COVID-19

Proje Numarası

Yok

Kaynakça

  • 1. http://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020.
  • 2. WHO Coronavirus (COVID-19) Dashboard https://covid19.who.int/
  • 3. Bansal M. Cardiovascular disease and COVID-19. Diabetes Metab Syndr. 2020;14(3):247-50. doi: 10.1016/j.dsx.2020.03.013.
  • 4. Santoso A, Pranata R, Wibowo A, Al-Farabi MJ, Huang I, Antariksa B. Cardiac injury is associated with mortality and critically ill pneumonia in COVID-19: A meta-analysis. Am J Emerg Med. 2020 Apr 19:S0735-6757(20)30280-1. doi: 10.1016/j.ajem.2020.04.052
  • 5. Shi S, Qin M, Shen B, Cai Y, Liu T, Yang F, et al. Association of Cardiac Injury With Mortality in Hospitalized Patients With COVID-19 in Wuhan, China. JAMA Cardiol. 2020;5(7):802-10. doi: 10.1001/jamacardio.2020.0950.
  • 6. Xiong TY, Redwood S, Prendergast B, Chen M. Coronaviruses and the cardiovascular system: acute and long-term implications. Eur Heart J. 2020;41(19):1798-800. doi: 10.1093/eurheartj/ehaa231
  • 7. Li B, Yang J, Zhao F, Zhi L, Wang X, Liu L, et al. Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China. Clin Res Cardiol. 2020;109(5):531-8. doi: 10.1007/s00392-020-01626-9
  • 8. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5
  • 9. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult in patients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. doi: 10.1016/S0140-6736(20)30566-3
  • 10. Chen D, Li X, Song Q, Hu C, Su F, Dai J, et al. Assessment of Hypokalemia and Clinical Characteristics in Patients With Coronavirus Disease 2019 in Wenzhou, China. JAMA Netw Open. 2020;3(6):e2011122. doi: 10.1001/jamanetworkopen.2020.11122.
  • 11. Wang Y, Chen L, Wang J, He X, Huang F, Chen J, et al. Electrocardiogram analysis of patients with different types of COVID-19. Ann Noninvasive Electrocardiol. 2020;25(6):e12806. doi: 10.1111/anec.12806.
  • 12. McCullough SA, Goyal P, Krishnan U, Choi JJ, Safford MM, Okin PM. Electrocardiographic Findings in Coronavirus Disease-19: Insights on Mortality and Underlying Myocardial Processes. J Card Fail. 2020;26(7):626-32. doi: 10.1016/j.cardfail.2020.06.005.
  • 13. Barman HA, Atici A, Alici G, Sit O, Tugrul S, Gungor B, et al. The effect of the severity COVID-19 infection on electrocardiography. Am J Emerg Med. 2020 Oct 7:S0735-6757(20)30889-5. doi: 10.1016/j.ajem.2020.10.005.
  • 14. Angeli F, Spanevello A, De Ponti R, Visca D, Marazzato J, Palmiotto G, et al. Electrocardiographic features of patients with COVID-19 pneumonia. Eur J Intern Med. 2020 Aug;78:101-6. doi: 10.1016/j.ejim.2020.06.015
  • 15. Deng Q, Hu B, Zhang Y, Wang H, Zhou X, Hu W, et al. Suspected myocardial injury in patients with COVID-19: Evidence from front-line clinical observation in Wuhan, China. Int J Cardiol. 2020 Jul 15;311:116-21. doi: 10.1016/j.ijcard.2020.03.087.
  • 16. Bangalore S, Sharma A, Slotwiner A, Yatskar L, Harari R, Shah B, et al. ST-Segment Elevation in Patients with Covid-19 - A Case Series. N Engl J Med. 2020 Jun 18;382(25):2478-80. doi: 10.1056/NEJMc2009020.
  • 17. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9. doi: 10.1001/jama.2020.1585
  • 18. Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, et al. Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. 2020;5(7):811-8. doi: 10.1001/jamacardio.2020.1017
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Araştırma makalesi
Yazarlar

İskender Ekinci 0000-0001-7390-9301

Ahmet Cinar Bu kişi benim 0000-0002-6949-8025

İrem Kirac Utku 0000-0003-3806-5291

Hanise Ozkan Bu kişi benim 0000-0001-6416-0183

Mitat Buyukkaba Bu kişi benim 0000-0002-9685-1779

Abdulbaki Kumbasar Bu kişi benim 0000-0001-7466-9434

Omur Tabak Bu kişi benim 0000-0001-8848-4561

Proje Numarası Yok
Yayımlanma Tarihi 1 Mayıs 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 5 Sayı: 5

Kaynak Göster

APA Ekinci, İ., Cinar, A., Kirac Utku, İ., Ozkan, H., vd. (2021). Electrocardiographic findings in non-critical patients with coronavirus disease-2019. Journal of Surgery and Medicine, 5(5), 523-528. https://doi.org/10.28982/josam.879464
AMA Ekinci İ, Cinar A, Kirac Utku İ, Ozkan H, Buyukkaba M, Kumbasar A, Tabak O. Electrocardiographic findings in non-critical patients with coronavirus disease-2019. J Surg Med. Mayıs 2021;5(5):523-528. doi:10.28982/josam.879464
Chicago Ekinci, İskender, Ahmet Cinar, İrem Kirac Utku, Hanise Ozkan, Mitat Buyukkaba, Abdulbaki Kumbasar, ve Omur Tabak. “Electrocardiographic Findings in Non-Critical Patients With Coronavirus Disease-2019”. Journal of Surgery and Medicine 5, sy. 5 (Mayıs 2021): 523-28. https://doi.org/10.28982/josam.879464.
EndNote Ekinci İ, Cinar A, Kirac Utku İ, Ozkan H, Buyukkaba M, Kumbasar A, Tabak O (01 Mayıs 2021) Electrocardiographic findings in non-critical patients with coronavirus disease-2019. Journal of Surgery and Medicine 5 5 523–528.
IEEE İ. Ekinci, “Electrocardiographic findings in non-critical patients with coronavirus disease-2019”, J Surg Med, c. 5, sy. 5, ss. 523–528, 2021, doi: 10.28982/josam.879464.
ISNAD Ekinci, İskender vd. “Electrocardiographic Findings in Non-Critical Patients With Coronavirus Disease-2019”. Journal of Surgery and Medicine 5/5 (Mayıs 2021), 523-528. https://doi.org/10.28982/josam.879464.
JAMA Ekinci İ, Cinar A, Kirac Utku İ, Ozkan H, Buyukkaba M, Kumbasar A, Tabak O. Electrocardiographic findings in non-critical patients with coronavirus disease-2019. J Surg Med. 2021;5:523–528.
MLA Ekinci, İskender vd. “Electrocardiographic Findings in Non-Critical Patients With Coronavirus Disease-2019”. Journal of Surgery and Medicine, c. 5, sy. 5, 2021, ss. 523-8, doi:10.28982/josam.879464.
Vancouver Ekinci İ, Cinar A, Kirac Utku İ, Ozkan H, Buyukkaba M, Kumbasar A, Tabak O. Electrocardiographic findings in non-critical patients with coronavirus disease-2019. J Surg Med. 2021;5(5):523-8.
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