心律不整是否预测轻度或中度Covid-19感染的结果更差?
Abraham Speedie1, Anand Manickavasagam1, Sirish Chandra Srinath Patloori1
1Department of Cardiology, Cardiac Electrophysiology Unit, Christian Medical College and Hospital, Vellore, TN 632004 India.
COVID-19可能会导致心律不整,特别是脑上脉上高心率. 这种心律失常预示着COVID-19患者的疾病恶化和病率增加.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 内部医学 内部医学
背景情况:
- COVID-19是一种多系统性疾病,主要影响肺部.
- 在COVID-19中心脏参与包括高水平的热波宁,心律失常和心室功能障碍.
- 在COVID-19中心律失常的发生率和预测值需要进一步调查.
研究的目的:
- 为了确定轻度至中度COVID-19患者心律失常的发生率.
- 评估新发性心律失常是否预测疾病恶化或死亡率.
- 为了确定与COVID-19疾病进展相关的风险因素.
主要方法:
- 对85名患有轻度至中度COVID-19的患者进行前性观察性研究.
- 持续的霍尔特监测以检测心律不整.
- 单变量和多变量分析以确定疾病恶化的预测因素.
主要成果:
- 在10.5%的患者中检测到新发作的心律失常.
- 在8.2%的患者中,出现了心室上下心跳 (SVT),其中7人中有6人表现出疾病恶化 (p=0.006).
- 疾病恶化的独立预测因素包括D-二次体升高和SVT (p=0.033).
结论:
- COVID-19 感染与心律失常的风险增加有关.
- 在COVID-19患者中出现上心跳动的发展预示着更高的发病率和疾病恶化.
- 早期发现和管理心律失常可能在COVID-19护理中至关重要.
更多相关视频
05:03Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function
Published on: December 11, 2019
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
相关概念视频
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Mechanism of Cardiac Arrhythmias
Disturbances in Heart Rhythm
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Dysrhythmias V: Evaluating Dysrhythmias
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Myocarditis III: Medical Management
