Department of Cardiology, Second Xiangya Hospital, Central South University, Changsha, China.
Department of Endocrinology, Second Xiangya Hospital, Central South University, Changsha, China.
Can J Cardiol. 2020 Jun;36(6):966.e1-966.e4. doi: 10.1016/j.cjca.2020.03.028. Epub 2020 Mar 29.
Cardiac involvement has been reported in patients with COVID-19, which may be reflected by electrocardiographic (ECG) changes. Two COVID-19 cases in our report exhibited different ECG manifestations as the disease caused deterioration. The first case presented temporary SIQIIITIII morphology followed by reversible nearly complete atrioventricular block, and the second demonstrated ST-segment elevation accompanied by multifocal ventricular tachycardia. The underlying mechanisms of these ECG abnormalities in the severe stage of COVID-19 may be attributed to hypoxia and inflammatory damage incurred by the virus.
已有报道称，COVID-19 患者存在心脏受累情况，这可能反映在心电图（ECG）变化上。我们报告的两例 COVID-19 病例在病情恶化时表现出不同的心电图表现。第一例呈现暂时的 SIQIIITIII 形态，随后出现可逆转的近乎完全性房室传导阻滞，第二例表现为 ST 段抬高，伴有多灶性室性心动过速。COVID-19 重症阶段这些心电图异常的潜在机制可能归因于病毒引起的缺氧和炎症损伤。
