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Updated: Dec 11, 2025

Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function
Published on: December 11, 2019
Value of electrocardiography in coronavirus disease 2019 (COVID-19)
Sohaib Haseeb1, Enes Elvin Gul2, Göksel Çinier3
1College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
Insights
The electrocardiogram (ECG) helps identify heart issues in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), or COVID-19. This review highlights ECG
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in December 2019 led to the COVID-19 pandemic.
- Cardiovascular manifestations are increasingly recognized as significant factors impacting COVID-19 prognosis.
- The World Health Organization declared a public health emergency due to the global spread of COVID-19.
Purpose of the Study:
- To review the utility of the electrocardiogram (ECG) in detecting cardiac involvement among COVID-19 patients.
- To emphasize the clinical significance of ECG findings in the context of COVID-19.
- To highlight the role of ECG as a readily available tool for cardiac assessment during the pandemic.
Main Methods:
- Literature review focusing on studies examining electrocardiographic findings in COVID-19 patients.
- Analysis of the diagnostic and prognostic value of ECG in assessing cardiac complications.
- Synthesis of current evidence on the application of ECG in managing COVID-19 patients with suspected cardiac involvement.
Main Results:
- Electrocardiography is a crucial, accessible, and cost-effective tool for evaluating cardiac status in COVID-19.
- ECG can reveal various cardiac abnormalities associated with SARS-CoV-2 infection, influencing patient outcomes.
- The ability for remote ECG evaluation enhances its utility in managing patients during widespread outbreaks.
Conclusions:
- The electrocardiogram plays a vital role in identifying and monitoring cardiac involvement in COVID-19.
- Understanding ECG patterns associated with COVID-19 is essential for clinical decision-making and improving patient prognosis.
- ECG's accessibility and ease of use make it indispensable in the comprehensive care of COVID-19 patients.
Abstract:
In December 2019, reports of an unknown pneumonia not responsive to traditional treatments arose in Wuhan, China. The pathogen was subsequently identified as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), known to be responsible for the coronavirus disease-2019 (COVID-19) illness, and public health emergency of international concern was declared by the World Health Organization. There is increasing awareness of the cardiovascular manifestations of COVID-19 disease, and the adverse impact of cardiovascular involvement on its prognosis. In this setting, the electrocardiogram (ECG) is one of the leading tools to assess the extent of cardiac involvement in COVID-19 patients, due to its wide disponibility, low cost, and the possibility of remote evaluation. In this article, we review the role of the ECG in the identification of cardiac involvement in COVID-19, highlighting relevant clinical implications.
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