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Electrocardiographic Pathological Findings Caused by the SARS-CoV-2 Virus Infection: Evidence from a Retrospective Multicenter International Cohort Longitudinal Pilot Study of 548 Subjects
COVID-19 has threatened the capability of receiving and allocating patients in emergency departments (EDs) all over the world. This is a retrospective cohort study to explore the role of a simple procedure like an ECG to screen for the severity of COVID-19 on admission to the ED. For this study, 548...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967030/ https://www.ncbi.nlm.nih.gov/pubmed/36826554 http://dx.doi.org/10.3390/jcdd10020058 |
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author | Susca, Nicola Solimando, Antonio Giovanni Borrelli, Paola Marziliano, Donatello Monitillo, Francesco Raimondo, Pasquale Vestito, Domenico Lopizzo, Agostino Brindicci, Gaetano Abumayyaleh, Mohammad El-Battrawy, Ibrahim Saracino, Annalisa Grasso, Salvatore Brunetti, Natale Daniele Racanelli, Vito Santoro, Francesco |
author_facet | Susca, Nicola Solimando, Antonio Giovanni Borrelli, Paola Marziliano, Donatello Monitillo, Francesco Raimondo, Pasquale Vestito, Domenico Lopizzo, Agostino Brindicci, Gaetano Abumayyaleh, Mohammad El-Battrawy, Ibrahim Saracino, Annalisa Grasso, Salvatore Brunetti, Natale Daniele Racanelli, Vito Santoro, Francesco |
author_sort | Susca, Nicola |
collection | PubMed |
description | COVID-19 has threatened the capability of receiving and allocating patients in emergency departments (EDs) all over the world. This is a retrospective cohort study to explore the role of a simple procedure like an ECG to screen for the severity of COVID-19 on admission to the ED. For this study, 548 consecutive patients were enrolled in a multicenter international registry and stratified upon ECG on admission with a simple distinction between normal vs. abnormal rhythm. Among patients in the abnormal ECG group were those with heart rates higher than 100 beats per minute and/or atrial fibrillation. Survival in patients with normal ECG rhythm was deemed below 75% after 58 days and then stabilized, while survival in patients with abnormal ECG rhythm was deemed below 75% after 11 days and below 50% after 21 days. A multivariate analysis including abnormal rhythm, gender, age, diabetes, obesity, respiratory failure during hospitalization, heart failure during hospitalization, and abnormal rhythm was an independent predictor of death (HR 7.20 95% CI 3.63–14.28, p < 0.01). This finding, if confirmed in large prospective studies, is promising for identifying a cheap and simple procedure for patients in need of a closer look. |
format | Online Article Text |
id | pubmed-9967030 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99670302023-02-26 Electrocardiographic Pathological Findings Caused by the SARS-CoV-2 Virus Infection: Evidence from a Retrospective Multicenter International Cohort Longitudinal Pilot Study of 548 Subjects Susca, Nicola Solimando, Antonio Giovanni Borrelli, Paola Marziliano, Donatello Monitillo, Francesco Raimondo, Pasquale Vestito, Domenico Lopizzo, Agostino Brindicci, Gaetano Abumayyaleh, Mohammad El-Battrawy, Ibrahim Saracino, Annalisa Grasso, Salvatore Brunetti, Natale Daniele Racanelli, Vito Santoro, Francesco J Cardiovasc Dev Dis Article COVID-19 has threatened the capability of receiving and allocating patients in emergency departments (EDs) all over the world. This is a retrospective cohort study to explore the role of a simple procedure like an ECG to screen for the severity of COVID-19 on admission to the ED. For this study, 548 consecutive patients were enrolled in a multicenter international registry and stratified upon ECG on admission with a simple distinction between normal vs. abnormal rhythm. Among patients in the abnormal ECG group were those with heart rates higher than 100 beats per minute and/or atrial fibrillation. Survival in patients with normal ECG rhythm was deemed below 75% after 58 days and then stabilized, while survival in patients with abnormal ECG rhythm was deemed below 75% after 11 days and below 50% after 21 days. A multivariate analysis including abnormal rhythm, gender, age, diabetes, obesity, respiratory failure during hospitalization, heart failure during hospitalization, and abnormal rhythm was an independent predictor of death (HR 7.20 95% CI 3.63–14.28, p < 0.01). This finding, if confirmed in large prospective studies, is promising for identifying a cheap and simple procedure for patients in need of a closer look. MDPI 2023-01-31 /pmc/articles/PMC9967030/ /pubmed/36826554 http://dx.doi.org/10.3390/jcdd10020058 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Susca, Nicola Solimando, Antonio Giovanni Borrelli, Paola Marziliano, Donatello Monitillo, Francesco Raimondo, Pasquale Vestito, Domenico Lopizzo, Agostino Brindicci, Gaetano Abumayyaleh, Mohammad El-Battrawy, Ibrahim Saracino, Annalisa Grasso, Salvatore Brunetti, Natale Daniele Racanelli, Vito Santoro, Francesco Electrocardiographic Pathological Findings Caused by the SARS-CoV-2 Virus Infection: Evidence from a Retrospective Multicenter International Cohort Longitudinal Pilot Study of 548 Subjects |
title | Electrocardiographic Pathological Findings Caused by the SARS-CoV-2 Virus Infection: Evidence from a Retrospective Multicenter International Cohort Longitudinal Pilot Study of 548 Subjects |
title_full | Electrocardiographic Pathological Findings Caused by the SARS-CoV-2 Virus Infection: Evidence from a Retrospective Multicenter International Cohort Longitudinal Pilot Study of 548 Subjects |
title_fullStr | Electrocardiographic Pathological Findings Caused by the SARS-CoV-2 Virus Infection: Evidence from a Retrospective Multicenter International Cohort Longitudinal Pilot Study of 548 Subjects |
title_full_unstemmed | Electrocardiographic Pathological Findings Caused by the SARS-CoV-2 Virus Infection: Evidence from a Retrospective Multicenter International Cohort Longitudinal Pilot Study of 548 Subjects |
title_short | Electrocardiographic Pathological Findings Caused by the SARS-CoV-2 Virus Infection: Evidence from a Retrospective Multicenter International Cohort Longitudinal Pilot Study of 548 Subjects |
title_sort | electrocardiographic pathological findings caused by the sars-cov-2 virus infection: evidence from a retrospective multicenter international cohort longitudinal pilot study of 548 subjects |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967030/ https://www.ncbi.nlm.nih.gov/pubmed/36826554 http://dx.doi.org/10.3390/jcdd10020058 |
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