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Arrhythmias and Electrocardiographic findings in Coronavirus disease 2019: a systematic review and meta-analysis

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dc.contributor.author García-Zamora, Sebastián
dc.contributor.author Lee, Sharen
dc.contributor.author Haseeb, Sohaib
dc.contributor.author Bazoukis, George
dc.contributor.author Tse, Gary
dc.contributor.author Álvarez-García, Jesús
dc.contributor.author Gul, Enes Elvin
dc.contributor.author Çinier, Göksel
dc.contributor.author Bryce, Alexander
dc.contributor.author Martins Pinto-Filho, Marcelo
dc.contributor.author Liu, Tong
dc.contributor.author Baranchuk, Adrian
dc.contributor.author International Society of Electrocardiology Young Community (ISE-YC)
dc.date.accessioned 2021-05-12T13:00:20Z
dc.date.available 2021-05-12T13:00:20Z
dc.date.issued 2021-04-23
dc.identifier.citation Garcia-Zamora S, Lee S, Haseeb S, Bazoukis G, Tse G, Alvarez-Garcia J, Gul EE, Çinier G, Alexander B, Pinto-Filho MM, Liu T, Baranchuk A; International Society of Electrocardiology Young Community (ISE-YC). Arrhythmias and Electrocardiographic findings in Coronavirus disease 2019: a systematic review and meta-analysis. Pacing Clin Electrophysiol. 2021 Apr 23. doi: 10.1111/pace.14247 es_ES
dc.identifier.uri https://doi.org/10.1111/pace.14247
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/473
dc.description.abstract Background: Coronavirus disease 2019 (COVID-19) primarily causes lung infection, but recent studies have shown that cardiac involvement is associated with a worse prognosis. Objectives: We conducted a systematic review and meta-analysis to examine the prevalence of cardiac arrhythmias detected by the electrocardiogram and their relationships with adverse outcomes in patients with COVID-19. Methods: PubMed and Google were searched for studies that reported on cardiac arrhythmias and/or examined the relationship between arrhythmias and adverse outcomes. Results: Thirty studies with 12,713 participants were included in the systematic review, and 28 studies (n = 12,499) in the meta-analysis. The mean age was 61.3 ±16.8 years; 39.3% were female. In 25 studies with 7,578 patients, the overall prevalence of cardiac arrhythmias was 10.3% (95% confidence interval [CI]: 8.4% to 12.3%). The most common arrhythmias documented during hospitalization were supraventricular arrhythmias (6.2%, 95% CI: 4.4% to 8.1%) followed by ventricular arrhythmias (2.5%, 95% CI: 1.8% to 3.1%). The incidence of cardiac arrhythmias was higher among critically ill patients (relative risk [RR]: 12.1, 95% CI: 8.5 to 17.3) and among non-survivors (RR: 3.8, 95%, CI: 1.7 to 8.7). Eight studies reported changes in the QT interval. The prevalence of QTc >500 ms was 12.3% (95% CI: 6.9% to 17.8%). ST-segment deviation was reported in eight studies, with a pooled estimate of 8.7% (95% CI: 7.3% to 10.0%). Conclusion: Our meta-analysis showed that QTc prolongation, ST-segment deviation, and various other cardiac arrhythmias were observed in patients hospitalized with COVID-19. The presence of cardiac arrhythmias was associated with a worse prognosis. This article is protected by copyright. All rights reserved. es_ES
dc.language.iso eng es_ES
dc.publisher Wiley es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Arrhythmias, Cardiac es_ES
dc.subject Arritmias Cardíacas es_ES
dc.subject Electrocardiography es_ES
dc.subject Electrocardiografía es_ES
dc.subject COVID-19 es_ES
dc.title Arrhythmias and Electrocardiographic findings in Coronavirus disease 2019: a systematic review and meta-analysis es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: García-Zamora, Sebastián. Fleni. Departamento de Cardiología; Argentina.
dc.description.fil Fil: Lee, Sharen. The Chinese University of Hong Kong; China.
dc.description.fil Fil: Haseeb, Sohaib. James Cook University; Australia.
dc.description.fil Fil: Bazoukis, George. General Hospital of Athens "Evangelismos"; Grecia.
dc.description.fil Fil: Tse, Gary. Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease; China.
dc.description.fil Fil: Álvarez-García, Jesús. Mount Sinai Hospital; Estados Unidos.
dc.description.fil Fil: Gul, Enes Elvin. Madinah Cardiac Centre; Arabia Saudita.
dc.description.fil Fil: Çinier, Göksel. Dr.SiyamiErsek Hospital Thoracic and Cardiovascular Surgery Training and Research Hospital; Turquía.
dc.description.fil Fil: Bryce, Alexander. Queen's University; Canadá.
dc.description.fil Fil: Martins Pinto-Filho, Marcelo. Universidade Federal de Minas Gerais; Brasil.
dc.description.fil Fil: Liu, Tong. Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease; China.
dc.description.fil Fil: Baranchuk, Adrian. Queen's University; Canadá.
dc.relation.ispartofCOUNTRY Estados Unidos
dc.relation.ispartofCITY Mount Kisco
dc.relation.ispartofTITLE Pacing and clinical electrophysiology
dc.relation.ispartofISSN 1540-8159
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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