Wang huisheng, Li yiyang, Qing hengzhen, et al. The analysis of electrocardiogram in novel coronavirus pneumonia in Huoshengshan hospital[J]. 2020, 29(4): 261-264.
Wang huisheng, Li yiyang, Qing hengzhen, et al. The analysis of electrocardiogram in novel coronavirus pneumonia in Huoshengshan hospital[J]. 2020, 29(4): 261-264.DOI:
The analysis of electrocardiogram in novel coronavirus pneumonia in Huoshengshan hospital
Objective To investigate the electrocardiogram changes and explore the effect on cardiac electrical activity in new coronavirus pneumonia patients
and in order to assist in clinical diagnosis and treatment. Methods Retrospectively analyzed the COVID-19 patients in Huoshengshan Hospital from February 5 to March 10
2020. We collected and analyzed the general information
ECG changes and related laboratory indication in all the 280 patients.Results There were 165 male patients(58.9%)
115 females(41.1%)
age range from 21 to 85 years old
the median age was 53 years old
in which it included 67 of type common
184 of type severe and 29 of type dying. There were138 patients(49.3%) had underlying diseases such as hypertension
diabetes and coronary heart disease. ST-T change was the most common change in the all patients
accounting for 31.1%
followed by arrhythmia
the number is26.9%
which was based on premature beat(7.2%). hypersensitive response troponin(hs-c Tn) was higher than reference value in 21(7.2%) patients of type severe
obvious abnormality which 10 times above the upper limit of the reference value in 9(3.2%) patients
but only 1(0.4%) case was diagnosed as acute myocardial infarction. The rates of abnormal ECG between type severe(75.0%) and type dying(100%) was significantly higher than type common(23.9%). Conclusions ECG changes are common in COVID-19 patients
but less malignant arrhythmia
most of it was ST-T change
atrial and ventricular arrhythmia. The incidence of abnormal ECG is very high between type severe and type dying patients
in which arrhythmia is common. Correspondingly ST-T change is usual in type common patients. The persons with high blood pressure
diabetes
coronary heart disease are more predisposed to suffer from COVID-19. In some severe patients
hs-c Tn was very high
which suggest myocardial injury rather than myocardial infarction.