Open AccessECG CHANGES IN PATIENTS WITH COVID-19 – A RETROSPECTIVE OBSERVATIONAL STUDY AT A TERTIARY CARE HOSPITAL IN CHENNAI
Author(s) -
A. Shaik Sulaiman Meeran,
Thodur Madapusi Balaji,
Pushpa Raja,
Kiran Chandramohan
Publication year - 2021
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/9800205
Subject(s) - medicine , retrospective cohort study , observational study , logistic regression , intensive care unit , emergency medicine , outbreak , odds ratio , pediatrics , pathology
Background:A global outbreak of corona virus disease, caused by severe respiratory corona virus 2, has emerged sinceDecember 2019. However electrocardiographic manifestations of patients with COVID-19 have not been fullydescribed. We aim to investigate ECG characteristics in COVID-19 patients and risk factors of ICU admissionMethods:This retrospective observational study included the patients with COVID-19 at the Government KilpaukMedical College, Chennai between June 1st and 31st, 2020. Demographic, clinical and ECG characteristics werecollected and comparison were made between ICU and non ICU admission groups. Logistic regression was used toidentify risk factors of ICU admissionResults:Among the 159 patients included ST-T abnormalities were the most common ECG feature followed byarrhythmias. Compared with non ICU group, the ICU group showed higher heart rate and P wave duration and was morefrequently associated with CVD, ST-T abnormalities, arrythmias, QTc prolongation and pathological Q waves. ST-Tabnormalities and history of CVD were associated with increased risk of ICU admissionConclusion:COVID-19 is frequently related to cardiovascular manifestations including ECG abnormalities andcardiovascular comorbidities. ST-T abnormalities and CVD at admission were associated with increased odds of ICUadmission