Analyzing Electrocardiography Abnormalities in COVID-19 Patients Admitting to Emergency Department

Background: One of the groups affected at the highest level by the outbreak with the highest mortality rate is individuals with known cardiovascular diseases. Proinflammatory mediators play an important role in the pathophysiology of the disease cause cardiac and arrhythmic complications. This article aims to provide practical recommendations by evaluating ECG data in the follow-up and management of the disease to the Emergency Medicine workers to whom patients affected by COVID-19 first apply. Methods: We randomly collected the ECG data of the patients applying to our Hospital Emergency Medicine Clinic green, yellow and red areas who were positive for viral RNA in throat swabs were carried out. Results: The ECGs of 502 patients diagnosed with COVID-19 were collected in the 2-week period between June 15, 2020, and July 15, 2020. The study included 287 males (57.17%) and 215 females (42.83%). Normal sinus rhythm was detected in 241 patients (48.01%) at ECG. A total of 3 ECG patterns, which suggested ST elevation, and 11 ECG patterns, which suggested ST depression, were decisive in terms of emergency intervention. The number of patients with atrial fibrillation was 17 (3.39%). Conclusions: This infection was associated with multiple, direct, and indirect cardiovascular complications, including acute myocardial damage, myocarditis, arrhythmias. Sinus tachycardia was determined to be 30.08%, LVH 5.38%, and VES 4.18% in our study. As a result, we believe that our initial ECG recommendation is that cardiac monitoring will play an important role in treatment planning.

Keywords:

COVID-19, Electrocardiogram, Comorbidity, Emergency Department.,

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