Aysun KARSLI, Sinan Oğuzhan ÖZSAN, Ertan COMERTPAY, Ahmet Faruk BAŞKÜRKÇÜ, Oğuz EROĞLU, Turgut DENİZ

COVID-19 şüphesi nedeniyle pandemi polikliniğine başvuran hastalarda kardiyak etkilenmenin araştırılması

Amaç: COVID-19 kardiyovasküler komplikasyonlara neden olabilen bir virüstür. Bu çalışmada, COVID-19 şüphesi ile başvuran göğüs ağrılı hastalarda kardiyak etkilenme olup olmadığı Elektrokardiyografi (EKG) bulguları eşliğinde araştırılmıştır. Gereç ve Yöntem: Bu çalışma, Pandemi polikliniğine COVID-19 şüphesi ile başvuran göğüs ağrılı hastalar üzerinde prospektif olarak yapıldı. Hastalar PCR sonucuna göre: PCR sonucu pozitif ve negatif olmak üzere iki gruba ayrıldı. Tüm katılımcıların demografik özellikleri, başvuru şikayetleri ve şikayetlerinin mevcudiyet süresi, fizik muayene bulguları, laboratuvar sonuçları ve EKG bulguları kaydedildi. PCR sonucu pozitif olan hastalar, 15. günde kontrole çağırılarak yeniden EKG çekildi. Bulgular: Çalışmaya 50 PCR sonucu pozitif ve 50 PCR sonucu negatif hasta dahil edildi. Tüm hastaların yaş ortalaması 52.30±16.02/yıl ve %56’sı kadındı. PCR sonucu pozitif olanlarla PCR sonucu negatif olanlar arasında yaş ve cinsiyet bakımından farklılık saptanmadı (Sırasıyla p=0.116; 0.687). Başvuru yüksek duyarlıklı kardiyak Troponin (hs-cTn) düzeyi, PCR sonucu pozitif olanlarda PCR sonucu negatif olanlara göre anlamlı olarak daha yüksekti (p

Anahtar Kelimeler:

COVID-19, Elektrokardiyografi, Acil servis, Troponin

An investigation of cardiac effects in patients presenting to the pandemic clinic with suspected COVID-19

Aim: COVID-19 is a virus capable of causing cardiovascular complications. This study investigates whether any cardiac effect is present in patients presenting with suspected COVID-19 in the light of Electrocardiography (ECG) findings. Material and Method: This prospective study involved patients with chest pain presenting to the pandemic clinic with suspected COVID-19. Patients were divided into two groups based on their PCR results, PCR-positive and -negative. All participants’ demographic characteristics, presentation symptoms and the duration thereof, physical examination findings, laboratory results, and ECG findings were recorded. Patients with positive PCR results were invited for checks on the 15th day, when repeat ECG was performed. Results: A-50 patients with positive PCR results and 50 with negative PCR results were included in the study. The mean age of the entire patient group was 52.30±16.02 years, and 56% were women. No difference was determined between the positive and negative PCR result patients in terms of age or sex (p=0.116; 0.687, respectively). Presentation high sensitive cardiac Troponin (hs-cTn) levels were significantly higher in the patients with positive PCR results than in the PCR-negative patients (p

Keywords:

COVID-19, Electrocardiography, Emergency Department, Troponin,

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