A novel electrocardiogram characteristic in patients with myocardial injury due to COVID-19

Background: Coronavirus disease of 2019 (COVID-19) is a respiratory disease which can lead to cardiovascular complications including myocarditis, myocardial infarction, and heart failure. Electrocardiogram (ECG) may change in patients with COVID-19 with or without heart involvement. In this study, t...

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Autores principales:	Marzieh Mirtajaddini, Rezvanieh Salehi, Maryam Chenaghlou
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	covid-19 electrocardiogram low voltage myocardial infarction myocardial injury myocarditis Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/d3fd85d604e2429e93e6fd077070eaa5
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spelling	oai:doaj.org-article:d3fd85d604e2429e93e6fd077070eaa52021-11-12T11:12:16ZA novel electrocardiogram characteristic in patients with myocardial injury due to COVID-192251-95722251-958010.4103/rcm.rcm_21_21https://doaj.org/article/d3fd85d604e2429e93e6fd077070eaa52021-01-01T00:00:00Zhttp://www.rcvmonline.com/article.asp?issn=2251-9572;year=2021;volume=10;issue=3;spage=83;epage=87;aulast=Mirtajaddinihttps://doaj.org/toc/2251-9572https://doaj.org/toc/2251-9580Background: Coronavirus disease of 2019 (COVID-19) is a respiratory disease which can lead to cardiovascular complications including myocarditis, myocardial infarction, and heart failure. Electrocardiogram (ECG) may change in patients with COVID-19 with or without heart involvement. In this study, the ECG changes were evaluated in myocardial injuries due to COVID-19. Methods: This study was done on 22 COVID-19 patients with ST segment elevation in ECG and high troponin level. COVID-19 was confirmed using reverse-transcription polymerase chain reaction test. The ECG variables were evaluated by an expert cardiologist. Statistical analyses were carried out on ECG variables where the significance level of 0.05 was assigned. Results: Of 22 patients, 17 cases (77.3%) were male and 6 cases (27.3%) had a history of coronary artery disease. The most common myocardial involvement was extensive anterior type (31.8%), followed by anterior type (22.7%). Sinus rhythm was observed in 95.5% of patients and 54.5% had low voltage ECG in limb leads. No significant correlation was found between low voltage ECG and demonstrable etiologies of low voltage. Conclusion: The prevalence of low voltage ECG was significantly high in limb leads of patients with myocardial injury due to COVID-19 which was considerably greater than that of myocarditis or myocardial infarction patients.Marzieh MirtajaddiniRezvanieh SalehiMaryam ChenaghlouWolters Kluwer Medknow Publicationsarticlecovid-19electrocardiogramlow voltagemyocardial infarctionmyocardial injurymyocarditisDiseases of the circulatory (Cardiovascular) systemRC666-701ENResearch in Cardiovascular Medicine, Vol 10, Iss 3, Pp 83-87 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 electrocardiogram low voltage myocardial infarction myocardial injury myocarditis Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	covid-19 electrocardiogram low voltage myocardial infarction myocardial injury myocarditis Diseases of the circulatory (Cardiovascular) system RC666-701 Marzieh Mirtajaddini Rezvanieh Salehi Maryam Chenaghlou A novel electrocardiogram characteristic in patients with myocardial injury due to COVID-19
description	Background: Coronavirus disease of 2019 (COVID-19) is a respiratory disease which can lead to cardiovascular complications including myocarditis, myocardial infarction, and heart failure. Electrocardiogram (ECG) may change in patients with COVID-19 with or without heart involvement. In this study, the ECG changes were evaluated in myocardial injuries due to COVID-19. Methods: This study was done on 22 COVID-19 patients with ST segment elevation in ECG and high troponin level. COVID-19 was confirmed using reverse-transcription polymerase chain reaction test. The ECG variables were evaluated by an expert cardiologist. Statistical analyses were carried out on ECG variables where the significance level of 0.05 was assigned. Results: Of 22 patients, 17 cases (77.3%) were male and 6 cases (27.3%) had a history of coronary artery disease. The most common myocardial involvement was extensive anterior type (31.8%), followed by anterior type (22.7%). Sinus rhythm was observed in 95.5% of patients and 54.5% had low voltage ECG in limb leads. No significant correlation was found between low voltage ECG and demonstrable etiologies of low voltage. Conclusion: The prevalence of low voltage ECG was significantly high in limb leads of patients with myocardial injury due to COVID-19 which was considerably greater than that of myocarditis or myocardial infarction patients.
format	article
author	Marzieh Mirtajaddini Rezvanieh Salehi Maryam Chenaghlou
author_facet	Marzieh Mirtajaddini Rezvanieh Salehi Maryam Chenaghlou
author_sort	Marzieh Mirtajaddini
title	A novel electrocardiogram characteristic in patients with myocardial injury due to COVID-19
title_short	A novel electrocardiogram characteristic in patients with myocardial injury due to COVID-19
title_full	A novel electrocardiogram characteristic in patients with myocardial injury due to COVID-19
title_fullStr	A novel electrocardiogram characteristic in patients with myocardial injury due to COVID-19
title_full_unstemmed	A novel electrocardiogram characteristic in patients with myocardial injury due to COVID-19
title_sort	novel electrocardiogram characteristic in patients with myocardial injury due to covid-19
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/d3fd85d604e2429e93e6fd077070eaa5
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A novel electrocardiogram characteristic in patients with myocardial injury due to COVID-19

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