新型冠状病毒肺炎患者的心电图对比分析

万菁菁; 尹岚; 张泰魏; 何勃; 鲁志兵

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新型冠状病毒肺炎患者的心电图对比分析

临床研究 | 更新时间：2025-10-15

- 新型冠状病毒肺炎患者的心电图对比分析
- The analysis of electrocardiogram changes between admission and discharge in hospitalized inpatients with COVID-19
- 临床心电学杂志 2020年29卷第4期页码：265-269
- 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：
  中图分类号： R540.41;R563.1
- 纸质出版：2020
- 稿件说明：
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[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.

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references

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