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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...

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Main Authors: Susca, Nicola (Author) , Solimando, Antonio Giovanni (Author) , Borrelli, Paola (Author) , Marziliano, Donatello (Author) , Monitillo, Francesco (Author) , Raimondo, Pasquale (Author) , Vestito, Domenico (Author) , Lopizzo, Agostino (Author) , Brindicci, Gaetano (Author) , Abumayyaleh, Mohammad S. A. (Author) , El-Battrawy, Ibrahim (Author) , Saracino, Annalisa (Author) , Grasso, Salvatore (Author) , Brunetti, Natale Daniele (Author) , Racanelli, Vito (Author) , Santoro, Francesco (Author)
Format: Article (Journal)
Language:English
Published: 31 January 2023
In: Journal of cardiovascular development and disease
Year: 2023, Volume: 10, Issue: 2, Pages: 1-8
ISSN:2308-3425
DOI:10.3390/jcdd10020058
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.3390/jcdd10020058
Verlag, kostenfrei, Volltext: https://www.mdpi.com/2308-3425/10/2/58
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Author Notes:Nicola Susca, Antonio Giovanni Solimando, Paola Borrelli, Donatello Marziliano, Francesco Monitillo, Pasquale Raimondo, Domenico Vestito, Agostino Lopizzo, Gaetano Brindicci, Mohammad Abumayyaleh, Ibrahim El-Battrawy, Annalisa Saracino, Salvatore Grasso, Natale Daniele Brunetti, Vito Racanelli and Francesco Santoro
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Summary: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.
Item Description:Gesehen am 18.07.2024
Physical Description:Online Resource
ISSN:2308-3425
DOI:10.3390/jcdd10020058

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