1. 武汉市火神山医院
2. 联勤保障部队第923医院
3. 广西民族医院
纸质出版:2020
移动端阅览
[1]王会生,李依阳,青恒臻,张涛.火神山医院新型冠状病毒肺炎患者的心电图分析[J].临床心电学杂志,2020,29(04):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.
目的探讨新型冠状病毒肺炎患者的心电图改变
了解新型冠状病毒肺炎对心脏电活动的影响
协助临床诊疗。方法回顾性分析2020年2月5日至3月10日武汉火神山医院住院治疗的新型冠状病毒肺炎(COVID-19)患者
其中做过心电图检查的共280例。收集并统计分析上述患者一般资料、心电图改变及相关实验室检测指标。结果共280例患者
其中男165例(58.9%)
女115例(41.1%)
年龄21-85岁
中位数年龄53岁
其中普通型67人
重型184人
危重型29人。138例(49.3%)患者存在高血压、糖尿病、冠心病等基础疾病。ST-T改变为最常见的心图改变
占31.1%
其次为心律失常26.9%
以早搏为主7.2%。21例(7.5%)重型患者血清高敏肌钙蛋白(hs-c Tn)升高超过参考值
其中9例(3.2%)明显异常
超过参考值上限10倍
但仅1例(0.4%)诊断急性心肌梗死。重型(75.0%)及危重型(100%)COVID-19患者心电图异常比例明显高于普通型(23.9%)。结论心电图改变在受检COVID-19患者中较普遍
但恶性心律失常少
多为ST-T改变、房性及室性心律失常。重型及危重型心电图异常发病率很高
多见心律失常
普通型多见ST-T改变。合并高血压、糖尿病、冠心病的患者更易感COVID-19。部分重型患者hs-c Tn异常升高
提示心肌损伤
非急性心肌梗死。
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.
新型冠状病毒肺炎患者的心肌损伤表现 [J]. 魏之瑶,钱海燕. 中华心血管病杂志 . 2020(06)
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)
长QT综合征伴尖端扭转性室性心动过速应用胺碘酮治疗二例[J]. 顾春英,郑柳颖,李广平. 中华心律失常学杂志. 2009 (04)
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