Nemati Reza, Ganjoo Mahasty, Jadidi Faezeh, Tanha Ahmad, Baghbani Reza
Department of Medical Emergencies, School of Allied Medical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran.
Student Research Committee, Zarand School of Nursing, Kerman University of Medical Sciences, Kerman, Iran.
Arch Acad Emerg Med. 2020 Dec 17;9(1):e10. doi: 10.22037/aaem.v9i1.957. eCollection 2021.
Many reports have stated that patients admitted for COVID-19 may also suffer from cardiovascular diseases, suggesting cardiovascular involvement in COVID-19. Since there is direct association between electrocardiography (ECG) data and the prognosis of cardiovascular disease, a systematic literature review was performed in the present study to address this association and make a conclusive agreement on the early diagnostic and prognostic values of ECG in patients with COVID-19.
Electronic databases including PubMed, Scopus, Web of Science, Science Direct, Ovid, Embase, and Google Scholar were searched for "COVID-19" and "ECG" using all their equivalents and similar terms as search words. Afterwards, the records were limited to English articles and irrelevant documents, as well as articles that reported drug-induced cardiac dysfunction or patients with previous history of cardiovascular complications were excluded.
Overall, 31 articles with 2379 patients were found and used for qualitative data extraction. Findings showed that there is a significant association between COVID-19 infection and ECG findings. Also, ST-segment changes, T wave inversions, QT prolongation, and atrial fibrillation were found to be early indicators of cardiac involvement of COVID-19, which were associated with worse outcomes.
It is recommended to use ECG as a valuable diagnostic and prognostic tool for cardiac evaluation of patients with COVID-19.
许多报告指出，因新冠肺炎入院的患者可能还患有心血管疾病，这表明新冠肺炎会累及心血管系统。由于心电图（ECG）数据与心血管疾病的预后存在直接关联，本研究进行了一项系统的文献综述，以探讨这种关联，并就心电图对新冠肺炎患者的早期诊断和预后价值达成明确共识。
在包括PubMed、Scopus、Web of Science、Science Direct、Ovid、Embase和谷歌学术在内的电子数据库中，使用所有同义词和类似术语作为检索词，搜索“新冠肺炎”和“心电图”。之后，将记录限定为英文文章，并排除无关文档以及报告药物性心脏功能障碍或有心血管并发症既往史患者的文章。
总体而言，共找到31篇文章，涉及2379名患者，并用于定性数据提取。研究结果表明，新冠肺炎感染与心电图表现之间存在显著关联。此外，ST段改变、T波倒置、QT间期延长和心房颤动被发现是新冠肺炎心脏受累的早期指标，这些指标与更差的预后相关。
建议将心电图作为评估新冠肺炎患者心脏情况的有价值的诊断和预后工具。
