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2020年3月至8月在伊拉姆省沙希德·穆斯塔法·霍梅尼医院进行的一项研究:COVID-19患者心律失常的发生率。

The frequency of arrhythmias in COVID-19 patients, a study in the Shahid Mostafa Khomeini Hospital of Ilam from March to August 2020.

作者信息

Mohammadyari E, Ahmadi I, Mohammadyari A, Tavan H, Norozi S

机构信息

Department of Cardiology, School of Medicine, Shahid Mostafa Khomaeini Hospital, Ilam University of Medical Sciences, Ilam, Iran.

Department of Physiology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran.

出版信息

New Microbes New Infect. 2021 May;41:100867. doi: 10.1016/j.nmni.2021.100867. Epub 2021 Mar 19.

Abstract

Cardiac arrhythmias are important causes of death among populations and are always responsible for a high percentage of mortality in hospitalized patients. The aim of this descriptive analytical study was to evaluate the frequency of arrhythmias in patients with coronavirus disease 2019 (COVID-19) in the Shahid Mostafa Khomeini Hospital of Ilam from March to August 2020. All the COVID-19 patients with a cardiac condition admitted to the intensive care unit were enrolled in the study by census. Electrocardiography (ECG) and Holter monitoring were used to diagnose arrhythmias. Data analysis was performed in Microsoft Excel using descriptive statistics (frequency and percentage). The total number of eligible patients was 45, of whom 26 (57.8%) were men and 19 (42.2%) were women. The mortality rate of arrhythmias among COVID-19 patients was 17.77% (8 out of 45 patients), and the recovery rate was 82.13% (37 out of 45 patients). Tachycardia and a lack of response to heart-rate-reducing drugs were observed in patients with COVID-19. Owing to an overlap between these symptoms and those of heart diseases, there is a need to further evaluate patients with arrhythmias. Although arrhythmias are not common in COVID-19 patients, they can be fatal and have a high mortality rate, which can be prevented by early detection.

摘要

心律失常是人群中重要的死亡原因,在住院患者的死亡中始终占很高比例。这项描述性分析研究的目的是评估2020年3月至8月在伊拉姆省沙希德·穆斯塔法·霍梅尼医院的2019冠状病毒病(COVID-19)患者中心律失常的发生率。所有入住重症监护病房且患有心脏疾病的COVID-19患者均通过普查纳入研究。采用心电图(ECG)和动态心电图监测来诊断心律失常。使用描述性统计(频率和百分比)在Microsoft Excel中进行数据分析。符合条件的患者总数为45例,其中男性26例(57.8%),女性19例(42.2%)。COVID-19患者中心律失常的死亡率为17.77%(45例患者中有8例),恢复率为82.13%(45例患者中有37例)。在COVID-19患者中观察到心动过速以及对降低心率药物无反应的情况。由于这些症状与心脏病症状重叠,有必要对心律失常患者进行进一步评估。尽管心律失常在COVID-19患者中并不常见,但它们可能是致命的,死亡率很高,早期检测可预防这种情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2497/8088988/10f89b427dca/gr1.jpg

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