The analysis of electrocardiogram changes between admission and discharge in hospitalized inpatients with COVID-19

Wan jingjing; Yin lan; Zhang taiwei; He bo; Lu zhibing

您当前的位置：

首页 >

文章列表页 >

The analysis of electrocardiogram changes between admission and discharge in hospitalized inpatients with COVID-19

更新时间：2025-10-15

- The analysis of electrocardiogram changes between admission and discharge in hospitalized inpatients with COVID-19
- Vol. 29, Issue 4, Pages: 265-269(2020)
- 作者机构：
  
  1. 武汉大学中南医院
  2. 贵州中医药大学附属第一医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R540.41;R563.1
- Published：2020
- 稿件说明：
移动端阅览
[1]万菁菁,尹岚,张泰魏,何勃,鲁志兵.新型冠状病毒肺炎患者的心电图对比分析[J].临床心电学杂志,2020,29(04):265-269.

Wan jingjing, Yin lan, Zhang taiwei, et al. The analysis of electrocardiogram changes between admission and discharge in hospitalized inpatients with COVID-19[J]. 2020, 29(4): 265-269.
[1]万菁菁,尹岚,张泰魏,何勃,鲁志兵.新型冠状病毒肺炎患者的心电图对比分析[J].临床心电学杂志,2020,29(04):265-269. DOI：

Wan jingjing, Yin lan, Zhang taiwei, et al. The analysis of electrocardiogram changes between admission and discharge in hospitalized inpatients with COVID-19[J]. 2020, 29(4): 265-269. DOI：

摘要

目的了解新型冠状病毒肺炎（COVID-19）住院患者入出院体表心电图变化情况。方法回顾性分析2020年1月20日至3月1日于武汉大学中南医院收治的147例COVID-19患者的体表心电图

观察入院心电图及相对应出院心电图的变化。结果共有COVID-19患者147例

其中轻型/普通型123例

重型/危重型24例。患者入院体表心电图异常率达60.5%

心律失常（40.8%）和ST-T改变（25.9%）是最常见的异常表现。心电图异常者出院时心电图好转率为20.2%

且轻型/普通型患者出院体表心电图好转率高于重型/危重型患者（22.5%vs. 11.1%

p=0.28）

但无统计学差异。患者出院时新出现异常心电图的发生率为27.2%

重型/危重型患者新出现异常心电图的发生率显著高于轻型/普通型患者（54.2%vs. 22.0%

p<0.01）。结论新型冠状病毒肺炎患者入院体表心电图异常率较高

各型心律失常及ST-T改变是最常见的入院体表心电图异常表现。其中重型/危重型患者出院时新发心电图异常发生率较高

提示临床医生应密切关注重型/危重型患者心电图变化

预防不良心脏事件的发生。

Abstract

Objective To evaluate the changes of surface electrocardiogram in hospitalized patients diagnosed with coronavirus disease 2019（COVID-19）. Methods One hundred and forty-seven COVID-19 patients hospitalized in Zhongnan Hospital of Wuhan University from January 20

2020 to March 1

2020 were included. Surface electrocardiogram（ECG） were performed at admission and discharge and the changes of ECG were analyzed. Results There were 147 COVID-19 patients（24 in critical/severe group and 123 in mild/common group） finally included in this study. The incidence of abnormal ECG on admission was 60.5%

arrhythmias and ST-T change were the most frequent manifestations. The ECG improvement was seen in 20.2% of patients with 22.5% in the mild/common group than 11.1% in the critical/severe group（p=0.28）. Moreover

the incidence of newly abnormal ECG was seen in 27.2%of patients with 54.2% in the critical/severe group and 22.0% in the mild/common group（p<0.01）. Conclusions A high incidence of abnormal ECG is seen in hospitalized COVID-19 patients on admission and arrhythmias and ST-T change are the most frequent manifestations. The incidence of newly abnormal ECG in the critical/severe COVID-19 patients is relatively high

indicating close attention should be paid to the changes of ECG in the critical/severe COVID-19 patients to prevent adverse cardiac events.

关键词

Keywords

references

心电图诊断术语规范化中国专家共识（2019） [J]. 全军心血管专业委员会心脏无创检测学组《心电图诊断术语规范化中国专家共识（2019）》编写专家组,郭继鸿,王思让,陈韵岱,谭学瑞,张海澄,方丕华,卢喜烈,石亚君. 实用心电学杂志 . 2019(03)

心电图测量技术专家共识 [J]. 临床心电学杂志 . 2019(02)

Renin-Angiotensin-Aldosterone System Inhibitors in Patients with Covid-19. [J] . Vaduganathan Muthiah,Vardeny Orly,Michel Thomas,McMurray John J V,Pfeffer Marc A,Solomon Scott D. The New England journal of medicine . 2020 (17)

Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China [J] . Dawei Wang,Bo Hu,Chang Hu,Fangfang Zhu,Xing Liu,Jing Zhang,Binbin Wang,Hui Xiang,Zhenshun Cheng,Yong Xiong,Yan Zhao,Yirong Li,Xinghuan Wang,Zhiyong Peng. JAMA . 2020 (11)

Coronavirus fulminant myocarditis saved with glucocorticoid and human immunoglobulin. [J] . Hu Hongde,Ma Fenglian,Wei Xin,Fang Yuan. European heart journal . 2020

COVID-19 and the cardiovascular system. [J] . Zheng YingYing,Ma YiTong,Zhang JinYing,Xie Xiang. Nature reviews. Cardiology . 2020 (5)

[CRITERIA FOR SHORT AND LONG-TERM PROGNOSIS IN HOSPITALIZED PATIENTS BASED ON THE ECG SIGNAL CHARACTERISTICS AT ADMISSION. RATIONALE AND STUDY DESIGN]. [J] . Popov V,Yavisya A,Bulanova N,Ivanov G,Khamidova Kh,Panchenkova L,Martynov A. Georgian medical news . 2019 (295)

[ECG DISPERSION MAPPING: ABILITY TO PREDICT THE PATIENTS’ PROGNOSIS （REVIEW）]. [J] . Bulanova N,Ivanov G. Georgian medical news . 2019 (287)

ECG findings in comparison to cardiovascular MR imaging in viral myocarditis [J] . Claudia C. Deluigi,Peter Ong,Stephan Hill,Anja Wagner,Eva Kispert,Karin Klingel,Reinhard Kandolf,Udo Sechtem,Heiko Mahrholdt. International Journal of Cardiology . 2013 (1)

The Angiotensin-（1-7）/Mas Receptor Axis Is Expressed in Sinoatrial Node Cells of Rats [J] . Anderson J. Ferreira,Patrícia L. Moraes,Giselle Foureaux,Alexandre B. Andrade,Robson A. S. Santos,Alvair P. Almeida. Journal of Histochemistry & Cytochemistry . 2011 (8)

Angiotensin-converting enzyme II in the heart and the kidney. [J] . Danilczyk Ursula,Penninger Josef M. Circulation research . 2006 (4)

Cardiovascular complications of severe acute respiratory syndrome. [J] . Yu C-M,Wong R S-M,Wu E B,Kong S-L,Wong J,Yip G W-K,Soo Y O Y,Chiu M L S,Chan Y-S,Hui D,Lee N,Wu A,Leung C-B,Sung J J-Y. Postgraduate medical journal . 2006 (964)

ACE2: from vasopeptidase to SARS virus receptor [J] . Anthony J Turner,Julian A Hiscox,Nigel M Hooper. Trends in Pharmacological Sciences . 2004 (6)

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Electrocardiogram characteristic observation retrograde conduction of the dual atrioventricular nodal pathways

Electrocardiographic characteristics of acute total occlusion of the left main coronary artery

Analysis of clinical and electrocardiogram characteristics in patients with prolonged QT interval

A comparative study of the electrocardiographic “U-turn” phenomenon in patients with and without left heart failure

以胸痛为导向的心电图系统性教学

Related Author

SHI Zhicheng

MA Lan

DI Xinxin

ZHAO Yuntao.

ZHAI Suoling

YANG Wenyi

HONG Jiang

LIU Shaowen

Related Institution

Department of Electrocardiography, The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital)

Electrocardiogram Diagnosis Department, Second Affiliated Hospital of Anhui Medical University

Electrocardiogram Diagnosis Department, North District, First Affiliated Hospital of Anhui Medical University, Anhui Public Health Clinical Center

Department of Cardiology, Peking University Aerospace Center Hospital

Department of labouratory, Shanghai First People's Hospital

⁰