住院前心电图异常是否与COVID-19患者的死亡率增加有关? 一个定量系统的文献综述
1Hazardous Area Response Team Paramedic, South Western Ambulance Service NHS Foundation Trust, North Bristol Operations Centre, Bristol, UK.
概括
在COVID-19患者的医院前心电图 (ECG) 异常预测死亡率增加. 识别这些心电图变化可以有助于早期风险评估和医院前决策,以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19主要是一种呼吸系统疾病,具有与不良结果相关的显著心血管并发症.
- 电心电图 (ECG) 异常在住院的COVID-19患者中很常见,其中一些与较高的死亡率有关.
- 医院前心电图变化与COVID-19死亡率之间的关联尚不清楚.
研究的目的:
- 系统地审查和量化住院前与COVID-19死亡相关的ECG变化.
- 探索医院前心电图评估对患者风险分层和决策的有用性.
主要方法:
- 在CINAL,PubMed,MEDLINE和冠状病毒研究数据库中进行了系统的文献搜索.
- 为了进行定量合成,包括了8项COVID-19患者的队列研究,这些患者在住院前进行了心电图.
- 分析了心电图变化的患病率和与死亡率相关的几率/危险比率.
主要成果:
- 医院前ECG异常与COVID-19患者的死亡率增加显著相关.
- 与较高死亡率相关的特定心电图发现包括非鼻腔节律,QTc延长,左捆分支阻塞,轴偏差,心房动/动,右心室应变,ST/T波变化和左心室缩.
- 这些异常的患病率在幸存者和非幸存者之间有所不同.
结论:
- 住院前的心电图 (ECG) 评估可以成为评估COVID-19患者的宝贵工具.
- 识别医院前心电图异常可能有助于识别死亡风险较高的个体.
- 这种方法有可能改善COVID-19患者的医院前护理和决策.
更多相关视频
08:28Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus
Published on: April 5, 2011
17.7K
05:03Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function
Published on: December 11, 2019
8.6K
相关概念视频
01:29Electrocardiogram
2.2K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.2K
01:30Acute Coronary Syndrome III: Diagnostic studies
3
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
3
01:16ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
193
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
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,...
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,...
193
01:19Acute Coronary Syndrome II: Pathophysiology and clinical manifestations
3
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
3
01:30Acute Coronary SyndromeI: Introduction
3
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
3
01:30Coronary Artery Disease III: Clinical Manifestations
3
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
3