Evidence map›Paper›PMID 33412365›Full record

ReviewThe American journal of emergency medicine2021

Electrocardiographic manifestations of COVID-19.

Brit Long, William J Brady, Rachel E Bridwell, Mark Ramzy, Tim Montrief, Manpreet Singh, Michael Gottlieb

Open access · greenAbstract readReview
In one paragraph

Review in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Are Pre-Hospitalization ECG Abnormalities Associated With Increased Mortality in COVID-19 Patients? A Quantitative Systematic Literature Review.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Brit LongAssistant Program Director - Research, SAUSHEC, Emergency Medicine, Brooke Army Medical Center, United States of America. Electronic address: Brit.long@yahoo.com.
William J BradyProfessor, Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, United States of America. Electronic address: WB4Z@hscmail.mcc.virginia.edu.
Rachel E BridwellSAUSHEC, Emergency Medicine, Brooke Army Medical Center, United States of America.
Mark RamzyDepartment of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America.
Tim MontriefDepartment of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America.
Manpreet SinghAssistant Professor, Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, CA, United States of America.
Michael GottliebUltrasound Director, Assistant Professor, Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States of America.
San Antonio Uniformed Services Health Education Consortium · USUniversity of Pittsburgh Medical Center · USHarbor–UCLA Medical Center · USRush University Medical Center · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCoronavirus disease of 2019 (COVID-19) is a lower respiratory tract infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This disease can impact the cardiovascular system and lead to abnormal electrocardiographic (ECG) findings. Emergency clinicians must be aware of the ECG manifestations of COVID-19.

objectiveThis narrative review outlines the pathophysiology and electrocardiographic findings associated with COVID-19. DISCUSSION: COVID-19 is a potentially critical illness associated with a variety of ECG abnormalities, with up to 90% of critically ill patients demonstrating at least one abnormality. The ECG abnormalities in COVID-19 may be due to cytokine storm, hypoxic injury, electrolyte abnormalities, plaque rupture, coronary spasm, microthrombi, or direct endothelial or myocardial injury. While sinus tachycardia is the most common abnormality, others include supraventricular tachycardias such as atrial fibrillation or flutter, ventricular arrhythmias such as ventricular tachycardia or fibrillation, various bradycardias, interval and axis changes, and ST segment and T wave changes. Several ECG presentations are associated with poor outcome, including atrial fibrillation, QT interval prolongation, ST segment and T wave changes, and ventricular tachycardia/fibrillation.

conclusionsThis review summarizes the relevant ECG findings associated with COVID-19. Knowledge of these findings in COVID-19-related electrocardiographic presentations may assist emergency clinicians in the evaluation and management of potentially infected and infected patients.

Indexed as

ElectrocardiographyArrhythmias, CardiacCOVID-19Emergency Service, HospitalHumansPulmonary EmbolismRisk FactorsSARS-CoV-2ArrhythmiaCardiacCoronavirusCOVID-19DysrhythmiaECGEKGElectrocardiogramEmergency medicineSARS-CoV-2

Identifiers

PMID33412365
PMCPMC7771377
OpenAlexW3116901861

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.