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: | , , , , , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
31 January 2023
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| 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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| 245 | 1 | 0 | |a Electrocardiographic pathological findings caused by the SARS-CoV-2 virus infection |b evidence from a retrospective multicenter international cohort longitudinal pilot study of 548 subjects |c 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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| 520 | |a 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. | ||
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